Lodore Nursing Home

The registered manager had strengthened their quality assurance processes in response to our last inspection, including implementing a more detailed medicines management audit and a robust infection control audit. There were other processes in place to review key areas of service delivery, however, we found the care records audit was limited and did not include details about the quality of care records or identify if improvements were required, what action was taken and when. We also identified that whilst care plans were regularly reviewed, the number of updates recorded on the original care plan were often difficult to read and there was a risk that any changes to people's care and support needs may not be easily identifiable. We fed back our concerns about the care record reviews and care records audit to the registered manager and we will follow up on these areas at our next inspection.

People, relatives and staff felt well informed and involved in service delivery. They said there was open communication between themselves and with the registered manager. They felt comfortable expressing their views and felt listened to. The registered manager was clear about their role, including their CQC registration requirements. Statutory notifications about key events that occurred had been submitted, their latest CQC rating was clearly displayed and the registered manager was aware of and adhering to the duty of candour.