The Lodge - Dementia Care with Nursing

Inspectors found enough staff to meet people's needs. Recruitment checks, including references and DBS checks, had been completed.

“People were supported by enough staff who had been recruited safely.” from the report

Staff had relevant training, a proper induction and regular supervision and team meetings.

“The registered manager provided a robust induction and staff training was up to date in relevant areas.” from the report

Staff worked with health and community services. People were supported with balanced meals, modified diets and referrals to dieticians and speech and language therapy.

“Staff worked with other agencies to provide care and supported people to live healthier lives.” from the report

Relatives described staff as kind and caring. Inspectors found a positive culture and staff who were committed to care.

“Staff are very kind and caring, I am happy with the staff.” from the report

Medicine fridge and room temperature records had gaps. Thickener was not always recorded or stored securely, and a controlled-drugs cupboard key was left on top of the cupboard.

“Systems had not been established to make sure medicines were managed safely. This placed people at risk of harm.” from the report

The medicine audit did not identify the issues inspectors found. The same concern had also been identified at the previous inspection.

“Although there was a schedule of audits, the medicine's audit had not identified the issues we found during the inspection in order to make changes.” from the report

Some care plans referred to safe holds but did not give enough person-specific information to guide staff. CQC recommended getting guidance on how to document these care strategies.

“We recommend the provider seek guidance about how to document information regarding care strategies, so they are specific for each person.” from the report

Some staff did not follow the home's bare-below-the-elbow policy. The manager said this would be addressed immediately.

“We observed that some staff did not adhere to the service's 'bare below the elbow' policy.” from the report