The Lodge - Dementia Care with Nursing

Steps needed to be taken to strengthen some aspects of governance, and to ensure guidance about how to manage risks was clear. The facilities and equipment met people’s needs, were clean and well-maintained. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines well and involved people in planning any changes.

Staff did not always make sure assessments of people’s needs were up to date, however staff knew people’s needs well and ensured the care met their needs. Care was based on latest evidence and good practice. People had enough to eat and drink to stay healthy. Staff worked with all agencies involved in people’s care for the best outcomes. They monitored people’s health to support healthy living. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff and relevant people took decisions in people’s best interests where they did not have capacity.

People were usually treated with kindness and compassion. Staff protected their privacy and dignity. Staff treated people as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. The provider supported staff wellbeing.

People were usually involved in decisions about their care. Staff provided information people could understand. People knew how to give feedback and were confident the provider took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. Staff worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.

Managers did not always assess and mitigate risk and learn lessons from incidents. Leaders and staff had a shared vision and culture for the service. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Managers worked with the local community to deliver the best possible care and were receptive to new ideas.

The provider was previously in breach of the legal regulations relating to safe care and treatment, and good governance. Some improvements had been made, and the provider was no longer in breach of the legal regulation relating to safe care and treatment. Not enough improvement had been made in the legal regulation relating to good governance, and the provider continued to be in breach of this regulation.

We have asked the provider for an action plan in response to the concerns found at this assessment.