Updated 5 November 2020
The inspection
This was a targeted inspection on specific concerns we had received about management of the service, standards of care and staffing levels.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors on-site, and an assistant inspector who worked off-site, contacting staff and relatives.
Service and service type
Lavender Lodge Care Home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a new manager who was in the process of applying to become the registered manager. This would mean that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The inspection took place on 24 September 2020 and was announced. We gave the service short notice of 24 hours of the inspection. This was because we wanted to discuss if there was any current impact of Covid-19 in the service.
What we did before inspection
We reviewed all the information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and six relatives about their experience of the care provided. We spoke with 20 members of staff including: care staff, domestic staff, activities staff, nurses, the manager and the regional manager. We spent time on each of the three floors, making observations of the care provided, and staff’s interactions with people and each other.
We reviewed two people’s care plans, incident records, complaints and medicine audits.
After the inspection
We continued to seek clarification from the provider to validate the evidence found. We also looked at training data, staff rosters, staff supervision records, meeting minutes, policies and quality assurance records.