Working at Acorn Lodge

Managers missed some safeguarding alerts that should have gone to the local council, and risks like choking or bed falls weren't always checked.

we identified incidents which had not been reported to the local authority. During the inspection, we raised 5 safeguarding concerns with the local authority. Risks to people’s health were not always assessed and mitigated which increased potential harm of people choking and sustaining injuries from bedrails.

Recruitment missed noting talks about gaps in staff work histories, so hiring isn't fully reliable.

The provider completed pre-employment checks prior to staff deployment, however, discussions held regarding gaps in employment histories were not always documented.

Quality checks on care records and incidents didn't spot problems like missing risk details or incomplete notes.

Quality assurance processes did not provide a thorough oversight of the service. Inconsistent or incomplete care and staff records had not been identified through checks and audits.