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Lapwing Lodge

Type Social Care Org Region East Last inspected 25 Jul 2022

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 25 July 2022. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Requires Improvement

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Comprehensive inspection
Date: 25 July 2022
Rating extracted from this report: Requires Improvement
Actions indexed: 4 must-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 4 must-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4
Must do
Effective
The service did not always consider the least restrictive option for people. The Mental Capacity Act was not adhered to.
Regulation: Regulation 11 HSCA RA Regulations 2014 Need for consent
⚠ The service did not always consider the least restrictive option for people. The Mental Capacity Act was not adhered to.
Must-do action 2 of 4
Must do
Safe
Risks relating to people's safety were not always in place, or sufficiently detailed. Incidents which had occurred were not reviewed to identify themes and trends. Infection control procedures were not robust.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ Risks relating to people's safety were not always in place, or sufficiently detailed. Incidents which had occurred were not reviewed to identify themes and trends. Infection control procedures were not robust.
Must-do action 3 of 4
Must do
Well-led
Auditing processes were not robust, and had not been routinely undertaken to identify issues and drive improvements. Governance processes had not been effective in helping to keep people safe, protect people's rights, and provide good quality care and support.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ Auditing processes were not robust, and had not been routinely undertaken to identify issues and drive improvements. Governance processes had not been effective in helping to keep people safe, protect people's rights, and provide good quality care and support.
Must-do action 4 of 4
Must do
Effective
Staff did not receive all training relevant to their role. Some training was out of date. Competency checks had not been completed for staff completing delegated tasks
Regulation: Regulation 18 HSCA RA Regulations 2014 Staffing
⚠ Staff did not receive all training relevant to their role. Some training was out of date. Competency checks had not been completed for staff completing delegated tasks