Walmer Lodge Residential Home

Right Support: Medicines management was not safe as records were not always accurate. There was no system in place to calculate safe staffing levels. Care staff completed all cooking and cleaning tasks which impacted on the time they had to spend with people.

We have made a recommendation that the provider implements a staffing dependency tool and reviews the current staffing levels to ensure people's needs are met.

People's independence was promoted and they were supported to access the community safely. There was an ongoing refurbishment plan and people were involved in choosing the décor and furniture. Some people, where required, had positive behaviour support plans which helped staff support individuals and use de-escalation.

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.

Right Care: Overall risk management had improved however we identified risks relating to hot water temperatures and unguarded heaters. The manager addressed these during the inspection. People received person centred care. The staff group reflected the diversity of people using the service. Staff interactions with people were friendly, kind and respectful. People's dignity and privacy was promoted at all times. The environment was clean and staff followed safe infection control procedures.

Right Culture: Quality assurance systems were not effective or robust. Audits had not identified or addressed the areas we found on inspection. Improvements were needed in provider oversight and governance systems. The manager was responsive in taking action to address the issues we raised.