Chandos Lodge Nursing Home

Social Care Org · South East

Overall Rating
Not Yet Rated Last inspected 12 August 2022
Domain Ratings
Safe
Not Yet Rated
Effective
Not Yet Rated
Caring
Not Yet Rated
Responsive
Not Yet Rated
Well-led
Not Yet Rated

View Full CQC Report

3 must-do actions
2 should-do actions

Must-Do Actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The service had not fully implemented robust infection prevention and control procedures to effectively mitigate risk to people. We found evidence safe medicine practices were not always promoted in relation to storage and stock management of prescribed medicines.
Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
The service had not fully implemented robust infection prevention and control procedures to effectively mitigate risk to people. We found evidence safe medicine practices were not always promoted in relation to storage and stock management of prescribed medicines.
Must Do
Well-led
Governance systems did not effectively assess, monitor or improve the service to ensure compliance with all required regulations. The service failed to securely maintain records.
Regulation 17 HSCA RA Regulations 2014 Good governance
Governance systems did not effectively assess, monitor or improve the service to ensure compliance with all required regulations. The service failed to securely maintain records.
Must Do
Safe
Systems were either not in place or robust enough to demonstrate staff recruitment checks were effectively managed.
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Systems were either not in place or robust enough to demonstrate staff recruitment checks were effectively managed.

Should-Do Actions (2)

Recommended improvements to enhance service quality.

Should Do
Safe
We recommend the service review their approach to ensure this is proactive to anticipating and managing risks to people who use services, and that staff understand the systems and strategies and use them consistently.
Should Do
Safe
We recommend the service review their approach to ensure safeguarding concerns are identified and managed promptly, using local safeguarding procedures whenever necessary, and that investigations are thoroughly evidenced.

Previous Inspection (18 April 2020)

Rating: Requires Improvement Type: Comprehensive inspection Actions: 2 must-do , 3 should-do
3 resolved 2 repeated
Location Details
CQC ID: 1-107289799
Local Authority: Buckinghamshire
Region: South East
Inspection Report
Type: Focused inspection
Date: 12 August 2022
Rating: Requires Improvement
Actions: 3 must-do , 2 should-do
AI-extracted 17 Feb 2026