6 December 2022
During an inspection looking at part of the service
Cavendish Lodge is registered to provide nursing and personal care for up to 8 people who have a diagnosed mental health condition. At the time of our inspection visit there were 8 people living at the home. Care is provided across two floors and a communal lounge and dining area is located on the ground floor.
People's experience of using this service and what we found
People spoke positively about the support they received from the registered manager and staff to stay well and maintain their independence. However, the provider had experienced difficulties recruiting and retaining staff and staffing numbers were maintained by using temporary staff supplied through an agency. The high use of agency staff had impacted on consistency in following some of the provider’s processes, particularly in relation to safe medicines management.
Staff understood their safeguarding responsibilities and were able to describe the subtle signs that might indicate a person was worried or the subject of abuse. Changes in people’s risks were communicated to staff during handovers between shifts. Staff described an open culture where learning from accidents and incidents was shared within the staff team.
People told us they received care that met their needs and spoke of the positive impact living at Cavendish Lodge had on their well-being. People at Cavendish Lodge were working towards achievable goals in their recovery under the provider’s recovery programme.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider and registered manager took a proactive approach to promoting equality and diversity to ensure the service was inclusive of the needs of people and staff.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was Requires Improvement (published 30 August 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.
Why we inspected
This inspection was prompted by a review of the information we held about this service. This focussed inspection only looked at the key questions of safe, responsive and well-led.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has remained as Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cavendish Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.