Updated 15 August 2024
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.