Source · CQC inspection

Chandos Lodge Nursing Home

Type Social Care Org Region South East Last inspected 12 Aug 2022

Overall rating: Not Yet Rated  View full CQC report

Domain ratings

Five CQC key questions
Safe
Not Yet Rated
Effective
Not Yet Rated
Caring
Not Yet Rated
Responsive
Not Yet Rated
Well-led
Not Yet Rated

Earlier inspection findings

pre-2024 framework · 3 must-do 2 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Safe
The service had not fully implemented robust infection prevention and control procedures to effectively mitigate risk to people. We found evidence safe medicine practices were not always promoted in relation to storage and stock management of prescribed medicines.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ The service had not fully implemented robust infection prevention and control procedures to effectively mitigate risk to people. We found evidence safe medicine practices were not always promoted in relation to storage and stock management of prescribed medicines.
Must-do action 2 of 3
Must do
Well-led
Governance systems did not effectively assess, monitor or improve the service to ensure compliance with all required regulations. The service failed to securely maintain records.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ Governance systems did not effectively assess, monitor or improve the service to ensure compliance with all required regulations. The service failed to securely maintain records.
Must-do action 3 of 3
Must do
Safe
Systems were either not in place or robust enough to demonstrate staff recruitment checks were effectively managed.
Regulation: Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
⚠ Systems were either not in place or robust enough to demonstrate staff recruitment checks were effectively managed.

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Safe
We recommend the service review their approach to ensure this is proactive to anticipating and managing risks to people who use services, and that staff understand the systems and strategies and use them consistently.
Should-do action 2 of 2
Should do
Safe
We recommend the service review their approach to ensure safeguarding concerns are identified and managed promptly, using local safeguarding procedures whenever necessary, and that investigations are thoroughly evidenced.

Previous inspection

18 April 2020
RatingRequires Improvement
TypeComprehensive inspection
Actions 2 must-do 3 should-do
3 resolved 2 repeated

Location details

CQC ID: 1-107289799
Local authority: Buckinghamshire
Region: South East

Inspection report

Type: Focused inspection
Date: 12 August 2022
Rating: Requires Improvement
Actions: 3 must-do 2 should-do
AI-extracted 17 Feb 2026