Thistle Lodge Robins Wood Road

The home had introduced more frequent monitoring and reviewed incidents promptly. It used specialist advice and improvement plans to reduce the risk of problems happening again.

“All incidents were reviewed by the registered manager in a timely manner.” from the report

The provider completed a detailed medicines audit after errors, created an action plan and introduced a new process. Staff had medicines training and competency checks.

“A new process was implemented to ensure people received their medicines safely.” from the report

Inspectors found detailed assessments for restrictions and individual risks. Staff had clear guidance on how to support people when they became distressed.

“People's individual risks were fully assessed.” from the report

The management team was described as visible and approachable. Staff and relatives said they could raise concerns and were kept informed when things went wrong.

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

The inspection followed concerns that some safeguarding matters had not been reported to the local authority promptly. The provider reviewed its systems and inspectors found other concerns were reported in good time.

“Prior to our inspection we received concerns relating to a delay in the reporting of some safeguarding concerns to the local authority safeguarding team.” from the report

There had been recent errors in giving medicines. The provider obtained specialist help and made changes, but families should check how these improvements are being monitored.

“Following recent medicine administration error's, the provider sought specialist support to undertake a full in-depth medicines audit and an action plan was created to ensure errors were learnt from and not repeated.” from the report