Lady Ida Lodge
Social Care Org · Yorkshire & Humberside
Overall Rating
Last inspected 26 January 2023
Domain Ratings
Safe
Effective
Caring
Responsive
Well-led
2 must-do actions
13 should-do actions
Must-Do Actions (2)
Legal requirements based on regulation breaches identified during inspection.
Must Do
Responsive
The provider was not operating an effective system for identifying, receiving, recording, handling and responding to complaints.
Must Do
Safe
People had not received a service consistent with their assessed care needs as they experienced late and missed calls.
Should-Do Actions (13)
Recommended improvements to enhance service quality.
Should Do
Well-led
The oversight of these calls required improvement to ensure the system of recording was robust.
Should Do
Well-led
The quality of supervision was identified by the provider as an area for improvement.
Should Do
Well-led
Oversight of the service was an area for improvement.
Should Do
Safe
One staff file showed a risk assessment was put in place, but this did not cover all relevant information.
Should Do
Safe
Monitoring which was supposed to happen within the 48-hour period following a fall had not been completed. Accidents and incidents were not triggering a review of the risk assessment and associated care plan for this person.
Should Do
Safe
One person was missing a body map for staff to record where a pain patch had been applied.
Should Do
Effective
There were no written records to demonstrate staff received an induction.
Should Do
Effective
Supervision records were brief and needed to show performance was being reviewed, praise for positive work was given and training needs were being identified. There were no records to show appraisals had been carried out.
Should Do
Caring
Agency workers did not understand people or their needs, leading to mixed feedback about the quality of care.
Should Do
Caring
A male worker arrived for a person's call, despite them having requested female workers.
Should Do
Well-led
A staff file audited and passed as part of the provider's quality checks did not identify the issues CQC found.
Should Do
Well-led
CQC was not confident that summary sheets reflected the care hours provided, despite daily records being audited.
Should Do
Responsive
Feedback around communication showed improvements were needed, as people were not always informed when their calls were running late or not taking place.
Location Details
CQC ID: 1-10735701163
Local Authority: Leeds
Region: Yorkshire & Humberside
Inspection Report
Type: Inspection report
Date: 26 January 2023
Rating: Requires Improvement
Actions:
2 must-do
,
13 should-do
AI-extracted 17 Feb 2026