Shore Lodge - Care Home Learning Disabilities

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Date of assessment: 19 June 2024 to 5 July 2024. Shore Lodge is a residential care home providing support for adults with a learning disability. We completed this assessment to follow up on the warning notices issued after our last assessment where significant shortfalls had been found. We found the provider had not acted to rectify the shortfalls and had not met the requirements of the warning notices. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider had failed to meet these expectations and did not provide support following these guidelines. We found three continued breaches of regulation in relation to safe care and treatment, consent and governance. People continued to be placed at risk of and experienced physical harm. We found no improvement in staff understanding of capacity and consent and national guidelines had not been followed. The oversight and management of the service remained poor, the provider had not acted to ensure improvements were made. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of care they provide.

People's experience of this service

We observed people’s experience of care and support during our on site visits. People were not always safe living at the service, and they continued to be at risk of harm, their experience of living at the service was poor. People did not always receive support following their choices and preferences. People were often left by themselves with no stimulation when it was known they enjoyed company and spending time with people. People did not always have a positive experience when being supported by staff. We observed some staff not understanding how people communicated and not giving people choice. We observed other staff supporting people in a positive way and people reacted to them with smiles and laughter. People did not receive support following healthcare professionals’ guidance as staff were not always using the equipment recommended to keep them safe. People’s environment was not personalised to their own preferences. People’s rooms had not been furnished or decorated following people’s likes or dislikes. People were not supported to access the community regularly or when they wanted to. People were not consistently supported to take part in activities they enjoyed. People’s relatives also expressed some concerns about people’s care and support. Some relatives felt the service had deteriorated and the level of care was not as consistently good as it had been.