Penwortham Grange and Lodge

People were protected from the risk of abuse due to effective safeguarding processes, and the provider made sure that actions were taken to reduce the likelihood of mistakes being repeated. Staff knew how to meet people's needs and reviewed risks regularly. People were protected from environmental risks and people commented they had the right equipment to help maintain their independence. Staff were recruited safely although people and relatives felt that the service would benefit from more staff.

However, we identified 1 breach of the legal regulation in relation to the safe management of medicines. Improvements were required to the medicine's policy, guidance for staff and recording. Actions were put in place by the manager and provider to address.

Staff assessed and reviewed people's health, care, wellbeing and communication needs with them. People's care was delivered in line with legislation and evidence-based practice. Staff worked effectively with other services and supported people with their wider health needs. The provider monitored people's care and treatment to help make improvements. Staff understood the importance of seeking consent prior to caring tasks and talked to people about what they were doing.

The provider recently appointed a new manager and together they had identified shortfalls in previous governance arrangements, for example around managing safeguarding concerns, and medicine errors. An action plan was already underway to address issues and required more time to become embedded. Staff were positive about the new management and felt supported. There was a clear process to monitor incidents and make any changes. The manager and provider were committed to continuous learning to improve care.