Allerton Lodge

Relatives told us that staff members had a kind and caring approach towards their family members; but described the staff team as overstretched and under stress.

Records used to monitor, and review people's care were not fully completed and kept up to date. We found many examples where sections of care records were incomplete and where people's care plans had not been updated to reflect changes in their needs.

There were systematic and widespread failings in the way the service was led and managed. The systems in place for monitoring the quality and safety of the service were not used effectively. They failed to identify and mitigate risk and bring about improvements to the service people received. Daily checks of the environment, aspects of people's care and staffing had not taken place as required.

Medicines were administered safely and there were enough staff who knew people well to provide support.

People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately. Staff were confident about how to raise concerns to safeguard people.