CQC report explained · a nursing home
What the CQC found at Manor Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2022
Manor Lodge is rated Requires Improvement; inspectors found kind, personalised care but unsafe medicines management and weak risk and quality checks.
This was the first inspection of the home. One inspector visited without notice on 08 September 2022. They spoke with people and staff, observed care, and checked care, medicines, recruitment and management records.
People generally experienced kind and personalised care. Staff were trained, there were enough staff, people could choose their food, access health professionals, see visitors and use local facilities.
However, medicines were not always stored, checked or given safely. Some risk assessments did not explain clearly how risks should be managed. The home's checks had not found these problems, or the delay in completing required electrical safety testing.
The overall rating is Requires Improvement. Safe and well-led were rated Requires Improvement, while effective, caring and responsive were rated Good. The provider was asked for an action plan and CQC said it would monitor progress with the provider and local authority.
Enough staff
Inspectors found enough staff to keep people safe and saw staff respond promptly. Recruitment checks were also carried out.
“There were enough staff working at the service to keep people safe.” from the report
Kind and respectful care
People said staff were friendly and treated them well. Inspectors saw staff support privacy, dignity and independence.
“People were treated with respect and dignity and their independence was promoted.” from the report
Personalised care plans
Care plans reflected people's needs and preferences, and people were involved in developing them. Plans were reviewed as needs changed.
“These were person-centred, based around the needs of the individual.” from the report
Support with health and daily life
People could choose what they ate and were supported to see health professionals. They could also visit local places and maintain relationships.
“People were supported to access various healthcare professionals.” from the report
Medicines were not consistently safe
seriousThe medicines cabinet was left unlocked. Stock records did not match the medicines held, and there were no clear instructions for three medicines prescribed when needed.
“Medicines were not always managed in a safe way.” from the report
Risk assessments lacked detail
seriousSome assessments identified risks but did not explain clearly what staff should do to reduce them. This included risks linked to behaviour and diabetes.
“Risk assessments did not always contain sufficient information about how to mitigate the risks.” from the report
Quality checks missed problems
needs fixingThe home's audits and reviews did not identify the medicines and risk assessment problems. A fire risk assessment had also identified portable appliance testing, but this had not been completed.
“Quality assurance and monitoring systems were in place. However, these were not always effective, and had failed to identify issues we found during our inspection.” from the report
Confidential files were not locked
needs fixingStaff records containing personal information were kept in a filing cabinet that was unlocked during the inspection.
“However, we found this was left unlocked on the day of inspection, which meant any staff or person using the service was able to access confidential records.” from the report
- 01How are medicines now kept locked, stock-checked and recorded?
- 02What clear instructions are now in place for medicines prescribed only when needed?
- 03How have risk assessments been changed for behaviour-related risks and diabetes?
- 04Has portable appliance testing been completed, and how are outstanding safety actions tracked?
- 05How often are audits carried out, and how will you show that they now identify and fix problems?
This was an unannounced first inspection covering all five key questions, including infection prevention and control measures. This explanation was written from the published report of 14 October 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Manor Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2022Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2021Inspected but not ratedSafe: Inspected but not ratedWell-led: Inspected but not rated
- November 2021
Registered with the Care Quality Commission on 24 November 2021.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Barking and Dagenham
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Most charge £980 to £1,230 a week. 79 can care for a couple. 10 years' experience on average.
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