Source · CQC inspection
St Paul's Lodge
Type Social Care Org
Region Yorkshire & Humberside
Last inspected 22 Jul 2015
Overall rating: Inadequate View full CQC report
Domain ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Inadequate
Well-led
Inadequate
Earlier inspection findings
Must-do actions (10)
Must-do action 1 of 10
Must do
Safe
The registered person must provide care and treatment in a safe way for service users by assessing the risks to the health and safety of service users and doing all that is reasonably practical to mitigate any such risks.
Must-do action 2 of 10
Must do
Safe
The registered person must provide care and treatment in a safe way for service users by ensuring the proper and safe management of medicines.
Must-do action 3 of 10
Must do
Safe
The registered person must protect service users from abuse or improper treatment by establishing and operating effective systems and processes to prevent abuse of service users.
Must-do action 4 of 10
Must do
Effective
The registered person must ensure the nutritional and hydration needs of service users are met by ensuring service users receive suitable and nutritious food and hydration adequate to sustain life and good health and dietary supplements prescribed by a healthcare professional.
Must-do action 5 of 10
Must do
Safe
The registered person must ensure suitably qualified, skilled and experienced persons are deployed to meet people’s needs.
Must-do action 6 of 10
Must do
Responsive
The registered person must ensure that the care and treatment of service users is appropriate and meets their needs by assessing service users’ needs and designing care to ensure their needs are met.
Must-do action 7 of 10
Must do
Well-led
The registered person must establish and operate effective systems and processes to assess, monitor and improve the quality of the services provided and to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others whom may be at risk.
Must-do action 8 of 10
Must do
Well-led
The registered person must maintain accurate, complete and contemporaneous records in respect of each service user, including a record of the care and treatment provided to the service user and decisions taken in relation to the care and treatment provided.
Must-do action 9 of 10
Must do
Safe
The registered person must establish and operate effective recruitment procedures to ensure that persons employed for the purposes of carrying on a regulated activity are of good character.
Must-do action 10 of 10
Must do
Well-led
The registered person must submit notifications to the Commission in relation to people who have sustained serious injuries as required by Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.
Should-do actions (1)
Should-do action 1 of 1
Should do
Effective
We recommend that the service explores published guidance such as the National Institute for Health and Care Excellence (NICE) quality standards for people living with dementia under Quality Standard 30 (QS30: Supporting people to live well with dementia) and Quality Statement 7 (design and adaptation of housing) on how premises can be designed or adapted in a way that helps people with dementia manage their surroundings, retain their independence, and reduce feelings of confusion and anxiety.
Previous inspection
| Rating | Inadequate |
| Type | Inspection report |
| Actions | 5 must-do |
1 resolved
4 repeated