30 November 2012
During an inspection in response to concerns
Following concerns raised as a result of our inspection, on the 12 September 2012 and further information of concern, received at the Care Quality Commission (CQC), a follow up visit was arranged, for the 29 November 2012. Due to concerns identified on site on 29 November this inspection was extended to cover 30 November.
We found during our follow up visit that the service had not improved. The service provided had deteriorated and we were so concerned that we made an urgent referral under the multi-agency Hertfordshire Vulnerable Adult procedure, while we were at the service on 29 November 2012. Representatives from the Hertfordshire Older People and Physical Disability Team and the Hertfordshire Police Harm Reduction Unit joined us on site, to review the situation and assess the risk to people living at The Manor Lodge to ensure their safety.