Carlin Lodge

Inspectors found the home clean and homely. Staff knew people's needs and wishes.

“People were cared for in a clean and homely environment by staff who knew people's needs and wishes.” from the report

People and staff said there were enough staff, and inspectors saw people receive help quickly.

“People and staff told us there were enough staff to meet people's needs.” from the report

The home had improved its recruitment checks since the last inspection. The previous breach about recruitment was no longer present.

“Enough improvement had been made at this inspection and the provider was no longer in breach of regulation 19.” from the report

People and relatives said they could raise concerns and be involved in decisions about care.

“Documentation showed people and relatives were involved in decision making about the care provided.” from the report

The medicines room was not locked because a cupboard lock had broken. This created a risk that unauthorised people could access medicines.

“Medicines were not always stored safely and securely. This posed the risk that people who were not authorised to access medicines could do so.” from the report

Some records did not explain how staff should use equipment to protect skin or manage falls. This could lead to care that did not meet people's needs.

“Documentation did not contain sufficient information for staff on how to minimise risks.” from the report

The home's audits did not identify the medicines storage problem or gaps in care records. This meant the management system was not reliably finding and correcting risks.

“Audits did not consistently drive improvement.” from the report