Hawthorne Lodge Residential Care Home

We sought assurances from the registered manager and provider at the end of day one of our inspection to ensure that all immediate risks were mitigated, and they responded promptly to our concerns.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff were supervised and had completed all mandatory training. People told us they were having their assessed needs met. However, care records did not always reflect this due to a lack of information. People said they liked the food and the chef was knowledgeable about people's diets and likes and dislikes.

Governance systems were not robust enough to highlight some of the concerns we raised with regards to care records, medication, Mental Capacity, and the environment, such as the fire doors. We saw that despite some audits and reviews being completed, there was no additional oversight from the provider, so we could not be sure adequate governance systems were in place. We have received assurances from the provider and the registered manager that all of our feedback has been actioned. The registered manager understood their role and they were honest and transparent with us on the days of our inspection regarding some improvements required at the home to systems and processes. Notifications had been sent as requested. However due to limited oversight of incidents and accidents, notifications were not always being send in a timely manner. People said they liked the registered manager, and staff told us they felt well supported and able to raise any concerns.

We undertook this inspection at the same time as CQC inspected a range of urgent and emergency care services across Merseyside. To understand the experience of social care Providers and people who use social care services, we asked a range of questions in relation to accessing urgent and emergency care. The

responses we received have been used to inform and support system wide feedback.