Laurel Lodge Care Home

Social Care Org · East

Overall Rating
Inadequate Last inspected 17 May 2016
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

7 must-do actions

Must-Do Actions (7)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The provider must ensure that all reasonable steps are taken to ensure the risks to people are minimised.
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
At our last inspection we found breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider did not ensure that all reasonable steps were taken to ensure the risks to people were minimised. We found at our last inspection …
Must Do
Safe
The provider must ensure that persons employed are fit and proper for the purposes of the regulated activity.
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
We looked at the arrangements in place to ensure staff were recruited safely and that people were protected from unsuitable staff. Some recruitment checks, such as proof of a prospective employee's identity had been satisfactorily documented. However, none of the staff files that we looked at showed evidence of a …
Must Do
Safe
The provider must ensure that there are sufficient numbers of suitably qualified, competent, skilled and experienced staff to meet the needs of people using the service.
Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The provider confirmed that staffing levels were not formally assessed against the dependency levels of people who used the service. People and staff reported that staff were often busy, did not have time to talk, and that the service was often short staffed, particularly on the late shift. There were …
Must Do
Effective
The provider must ensure that care and treatment is provided only with the consent of the relevant person, and that staff understand and apply the principles of the Mental Capacity Act and Deprivation of Liberty Safeguards.
Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
During our inspection on 11 June 2015 we found that people could not be assured that they were supported by staff who understood the MCA and DoLS. This meant that the provider was in breach of regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, …
Must Do
Effective
The provider must ensure that premises and equipment used by the service provider are safe, suitable for the purpose for which they are being used, and properly maintained.
Regulation 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
At our last inspection on 17 March 2016 we saw that one of the bedrooms had extensive black mould growing on the walls and across the small window that was situated in the en suite toilet. At this inspection we saw that black mould had begun to re-appear in the …
Must Do
Effective
The provider must ensure that persons employed in the provision of a regulated activity receive such appropriate support, training, professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.
Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
Staff we spoke with told us that they had access to training in order to carry out their role, although they were not always clear how long it had been since they received the training. We saw that there were a number of staff whose training was out of date …
Must Do
Well-led
The provider must ensure that effective governance systems are established and operated to monitor the quality of the service, identify risks to the health and safety of people, and drive continuous improvement.
Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
Despite a serious accident occurring to one of the people living at the service effective action had not taken place to reduce the risks to other people living at the service. The provider agreed that processes were not in place for effective risk assessment. We saw that a number of …

Previous Inspection (17 May 2016)

Rating: Inadequate Type: Inspection report Actions: 1 must-do
1 repeated
Location Details
CQC ID: 1-109148349
Local Authority: Norfolk
Region: East
Inspection Report
Type: Comprehensive inspection
Date: 17 June 2016
Rating: Inadequate
Actions: 7 must-do
AI-extracted 17 Feb 2026