Imperial Lodge

People had clear risk assessments and plans telling staff how to reduce risks at home and in the community.

“People's individual risk assessments were detailed, clear and comprehensive.” from the report

Medicines were given as prescribed, records were completed properly and stocks matched the records. Staff competency checks were not regular, so this should still be discussed.

“People's medicines were managed safely to help ensure people received their medicines as prescribed and in line with national guidance.” from the report

Care plans reflected people's wishes, strengths and goals. They were reviewed as people's needs changed.

“People's needs were met in line with their wishes and preferences.” from the report

People were supported to build daily living skills, use the community, cook, clean and work towards greater independence.

“People were supported to maintain their independence and gain new skills.” from the report

The home could not show that all staff had been checked properly before working there. Some files lacked references, induction records or other recruitment information.

“The provider had not always followed appropriate procedures for recruiting staff.” from the report

There were not enough suitably trained permanent staff, and the home relied on agency staff. The provider could not show that new or temporary staff had received suitable induction, supervision or competency checks.

“The provider relied on agency staff to cover staff vacancies but had not ensured these temporary staff were trained to meet the needs of the people who used the service.” from the report

Health and safety, infection control and incident audits had stopped or were irregular. The home also did not show that it had reflected properly on a serious incident or other events.

“The provider did not have effective arrangements to assess, monitor and mitigate the risks relating to the health, safety and welfare of people and staff.” from the report

Some people and staff said they had little contact with the registered manager. One person said they did not really like living at the home and wanted to move on.

“One person who used the service told us they never saw the registered manager.” from the report