Linda Lodge

⚠ The evidence above in relation to infection prevention and control, risk assessment and management, medicines management and learning from incidents meant that the service was in breach of regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

⚠ Systems to protect people from the risk of neglect were therefore not effective. Although the service had policies and procedures for identifying and reporting abuse and neglect, these had failed to ensure people's safety at the time of the inspection and staff did not have up to date safeguarding training …

⚠ There were not enough staff at all times to care for people safely and there was not a suitable system to assess staffing needs.

⚠ The provider did not have a robust system to ensure all necessary checks were done on new staff as required by law, and there was no policy for updating criminal record checks at any particular frequency.

⚠ The evidence above in relation to assessing people's needs in line with guidance, nutrition and hydration and supporting people to live healthier lives is a breach of regulation 9 (Person centred care) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

⚠ Staff did not have all the training they needed to provide people with safe and appropriate care in line with current standards and guidance. There were no effective systems to make sure staff were competent, knowledgeable and properly supported.

⚠ The provider did not always adhere to the MCA to either enable people to make decisions about their care or follow the appropriate processes to ensure decisions about their care were in their best interests. Capacity assessments were not carried out, consent for COVID-19 testing was not assured, legal right …

⚠ The issues identified above were a breach of regulation 9 (Person centred care) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

⚠ The issues identified above indicate a breach of regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

⚠ The registered manager had failed to comply with their legal obligation to notify us of certain events that took place within the service, including deaths and events that stop the service from running safely.

⚠ The registered manager had failed to comply with their legal obligation to notify us of certain events that took place within the service, including deaths and events that stop the service from running safely.