- Care home
Gordon Lodge Rest Home
Report from 16 May 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 20 May 2024 to 7 June 2024. This was a responsive assessment completed following concerns being raised about the care and support people were receiving and management of risk. We assessed a total of 20 quality statements from all 5 key questions and found significant shortfalls in the quality of the care being provided. We found 2 breaches of regulation relating to safe care and treatment and the management of the service. We found infection control risks were not being managed, some areas of the service were dirty. People and staff did not always have access to handwashing facilities, leaving people at risk of infection. Medicines were not managed safely, including medicines not being stored at the correct temperature. Potential risks to people’s health and wellbeing had not been consistently assessed and staff did not have guidance to mitigate these risks. There were no effective systems and processes in place to assess and monitor the quality of the service. Some checks had been completed but these had not identified the shortfalls found at the assessment. Some areas such as care plans had not been checked to make sure they were accurate and contained detailed information about people to enable the planning and delivering of care. There was no evidence staff practice had been checked to make sure they were competent. There was no effective system in place to analyse accidents and incidents to identify patterns or trends and take action to reduce the risk of them happening again. There were no processes in operation to continuously learn, innovate or improve the service.
People's experience of this service
People and their loved ones told us staff managed risks and they felt safe and protected. People told us staff supported them in the way they preferred, and we observed this during our visit to the service. People and families were happy with the standard of cleanliness within the service. People were supported to do the things they enjoyed such as gardening, they had access to healthcare professionals. While the people we spoke with expressed they were generally happy with their care, our assessment found elements of care did not meet the expected standards.