Lotus Care Marmaduke Street

Risk assessments clearly explained the action staff should take to reduce harm. They were reviewed monthly or when people's needs changed.

“Risk assessments were robust, and clearly described the course of action staff were expected to take in order to mitigate harm.” from the report

Medicines were stored, administered and recorded safely. Medicines audits were completed and action was taken when problems were found.

“We found medicines were administered and recorded safely and at the correct times.” from the report

People spoken with said they felt safe and well looked after. Staff had completed safeguarding training and knew what to do if they suspected abuse.

“People we spoke with told us they felt safe and well looked after.” from the report

Staff and people were involved through regular meetings. Inspectors found a positive culture and staff said they felt supported by the interim manager.

“There was a positive and open culture at the service.” from the report

Not all staff had completed required training. Healthcare professionals had also raised concerns that staff did not always know how to respond to some situations.

“There were gaps in the training matrix which meant not all staff had completed their required training.” from the report

Some records were out of date, conflicting or incomplete. Audits had not always identified these problems, which was part of the Regulation 17 breach.

“Some records required updating because they contained out of date and conflicting information.” from the report

Communication with healthcare professionals was improving, but there were concerns that health concerns were not always escalated quickly enough.

“We did however, receive some concerns the home was not always acting in a timely manner when it came to escalating concerns.” from the report

There was no registered manager when inspectors visited. An interim manager was in post and the provider had taken steps to recruit a manager.

“At the time of our inspection there was not a registered manager in post.” from the report