West Lodge Care Home

Ratings

• Overall

  Requires improvement

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

Date of assessment 01 October 2024 to 14 October 2024. West Lodge Care Home a ‘care home’ providing personal care and support to older people and people living with dementia. At the time of the assessment, the service was supporting 23 people with their personal care needs. West Lodge Care Home was last rated requires improvements (published 14 March 2024 ). The report was published following CQC’s old inspection approach using Key Lines of Enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have identified breaches in relation to need for consent, safe care and treatment, staffing and good governance. Safety risks to people were not always managed well and risks were not always assessed. Staff had not always followed their training when supporting people with moving and handling which could have put people at risk of harm. The provider had not followed their own policy and procedures after accidents and incidents for completing reflective practice records or their safeguarding register. There were no processes or systems in place when incidents had occurred to review what had happened and prevent re-occurrence. Lessons were not learned from safety incidents or complaints. There was not clear and effective governance, management, and accountability arrangements. Staff did not understand their role and responsibilities. We have taken action and asked the provider to make improvement.

People's experience of this service

We received mix feedback in relation to people feeling safe and staff understanding people's needs well to keep them safe. Some people told us there was not always enough staff. We received mixed feedback from people regarding staffing levels. People were not able to explain how they were involved in assessing their care and support needs. People had not been given the opportunity to have a holistic review of their physical, mental and support needs. People did not always have their medicines managed safety. People told us they had not been involved in decision making regarding their care and support. People were not supported to ensure they had good outcomes with their social care needs. People and relatives told us, they had not been given the opportunity to be involved in any learning at West Lodge Care Home. People were unable to explain how they were involved in managing their risks and what choice’s they had. People told us they had not been involved in their care plans or assessments. We received mixed feedback regarding staff treating people kindly and with respect.