Tudor Lodge

Potential risks to people's health and welfare had not been consistently assessed, there was not always detailed guidance for staff to mitigate risks. Accidents and incidents had been recorded and analysed, however, there was not consistent records of the action taken to reduce the risk of them happening again. Medication was not always managed safely, people had not always received their medicines as prescribed. Staff were recruited safely, there were enough staff to meet people's needs. However, there was not a consistent system to calculate the number of staff required when people's needs changed.

Audits had been completed to check the quality of the service, however, these had not been effective in identifying extent of the shortfalls found at this inspection. There had not been a comprehensive action plan in place to rectify any shortfalls found.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were systems in place to protect people from discrimination and abuse. The registered manager had reported incidents to the local authority as required and worked with them to reduce the risk of them happening again.

Relatives told us they were confident to discuss any concerns with the registered manager and had been kept informed of incidents and their relatives health. Relatives visited when they wanted and were supported to take people out. Staff were wearing personal protective equipment in line with government guidance.