CQC report explained · a residential care home, run by Mr David Krishnalall Jangali
Priory Lodge
62 Priory Street, Colchester, CO1 2QE
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, December 2023
Rated Inadequate and in special measures; inspectors found kind staff but serious safety, care planning and management weaknesses.
Inspectors made an unannounced comprehensive inspection over 9, 11 and 16 October 2023. They spoke with people, staff and managers, and checked care records, recruitment, training, medicines and quality systems.
They found serious shortfalls in safety and leadership. Risk plans did not give staff enough guidance, fire safety and infection control needed strengthening, incidents were not always reported or investigated properly, and staff lacked important mental health and behaviour support training.
Staff were kind and the home had a friendly atmosphere. However, care plans were not personalised enough and people were not always involved in decisions about their care. The overall rating fell from Requires Improvement to Inadequate. The home is in special measures.
Kind staff
Inspectors found staff were friendly and treated people kindly.
“Staff were friendly and approachable and treated people kindly.” from the report
Welcoming atmosphere
People inspectors spoke with were happy living at the home, and the atmosphere was described as friendly.
“People we spoke with were happy living at the service. The atmosphere within the home was friendly and welcoming.” from the report
Access to healthcare
People were supported to attend appointments with healthcare professionals, including specialist clinics and psychiatrists.
“People were supported to attend appointments with other healthcare professionals such as specialist clinics and psychiatrists.” from the report
Some independence
Some people could go out independently, and some had keys to their rooms.
“Some people went out into the community independently.” from the report
Unsafe risk management
seriousRisk assessments did not give staff enough detail about how to respond to distress, prevent skin breakdown or manage other safety risks. Equipment and other items also obstructed a fire exit.
“Systems were not robust enough to demonstrate safety was safely managed, placing people at risk of receiving unsafe care and support.” from the report
Weak management oversight
seriousThe provider did not have reliable systems to monitor care, investigate incidents, learn lessons or drive improvement. This was a breach of Regulation 17.
“There was a lack of oversight and governance systems to effectively monitor the safety and quality of care provided and drive improvement.” from the report
Insufficient staff training
seriousStaff had limited knowledge of mental health needs and had not received important training in areas such as de-escalation and positive behaviour support. This was a breach of Regulation 18.
“They had not received training in associated and best practice areas such as positive behaviour support, de-escalation, break away techniques and physical intervention.” from the report
Care plans not personalised
seriousCare plans did not consistently describe people's strengths, goals, wishes, mental health needs or meaningful activities. This was a breach of Regulation 9.
“People's support plans were vague in relation to people's mental health, their strengths or abilities, wishes, aspirations and short and long-term goals.” from the report
Infection control gaps
needs fixingCleaning checks and schedules were not effective, and some laundry and protective equipment arrangements created contamination risks.
“People were not always protected from the risk of infection as staff were not consistently following safe infection prevention and control practices.” from the report
Privacy and involvement
needs fixingPeople were not always involved in planning their care, and shared rooms did not have screens or curtains to provide privacy.
“Shared rooms did not have screens or curtains to provide people with privacy.” from the report
- 01Which risk assessments and care plans have been rewritten, and how will you make sure staff follow the new guidance consistently?
- 02Has a suitably qualified person completed the fire risk assessment, and are current evacuation plans and emergency equipment now in place?
- 03What training have all staff completed in mental health, de-escalation, positive behaviour support and physical intervention?
- 04How are you now checking incidents, safeguarding concerns, complaints and accidents, and showing that lessons have been learned?
- 05How will my relative be involved in setting goals, planning activities and reviewing their care and communication needs?
This was an unannounced comprehensive inspection covering all five key questions; all ratings were assessed during this inspection. This explanation was written from the published report of 21 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Priory Lodge
5 rated inspections over 7 years: the service has slipped, from Requires improvement to Inadequate.
- December 2023Inadequatecurrent ratingSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- March 2022Inspected but not ratedSafe: Inspected but not rated
- December 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 3 December 2010.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
Or stay at home with a private carer
Many people who look at care homes end up staying at home with a carer who comes in for a few hours a day, or lives in. PrimeCarers introduces you to self-employed carers you choose yourself: interviewed, ID and DBS checked, from about £20 an hour or £1,120 a week live-in.