What the CQC found at Ferguson Lodge

People’s nutrition and hydration needs were met. People said food was appetising and alternatives were available.

“People told us food was appetising and that alternatives were available if they did not want to choice on the menu.” from the report

Inspectors were assured that the home had arrangements to prevent and manage infections, including safe use of protective equipment.

“We were assured that the provider was responding effectively to risks and signs of infection.” from the report

There were not always enough staff to meet people’s needs. People sometimes had to wait for help, and staff used tables to restrict people in chairs while they were busy elsewhere.

“There were delays in staff responding to people who required help due to their being insufficient staff to meet people's needs.” from the report

Medicine quantities did not always match administration records. Records for creams, patches and medicines given when needed were also incomplete.

“Quantities of remaining medicines did not always match the records of doses administered.” from the report

Some risks were not properly assessed or monitored. The home did not always recognise or report incidents that should have been referred to safeguarding authorities.

“Safeguarding systems were not effective in protecting people from the risk of abuse.” from the report

Capacity assessments and best-interest decisions were not always completed for restrictions such as bedrails, lap belts or locked bedroom doors.

“People's ability to consent to their care and treatment was not always assessed.” from the report

The home’s audits did not identify or correct the problems found by inspectors. Some important records were not available or were difficult to locate.

“Effective governance systems were not in place.” from the report

The home did not have records showing that it had fully met its duty to be open and honest after notifiable safety incidents.

“Documentation to show how the provider was meeting its duty of candour responsibilities was not available.” from the report