Working at Brendon Lodge

Protection concerns were not always reported to regulators as required, even though local authorities were told and people stayed safe.

We identified 1 breach of legal regulation in relation to failure to notify CQC of all safeguarding incidents. The registered manager had ensured people’s safety, following concerns and had raised a safeguarding alert to the local authority however had not always informed CQC as required.

Gaps in key training like tube feeding and swallowing safety for some staff, even with one trained person per shift.

The provider’s training records reflected gaps where some staff had not completed training in key areas, such as PEG training and dysphagia however we were assured that at least one trained member of staff was present at each shift.

Team culture had recent issues from staffing changes, with staff unsure of the service vision and mixed on feeling involved.

We received some feedback expressing concerns that the recent change in staffing had unsettled the service... Staff told us that there has been issues within the team culture, but that this was improving... they were unsure of the vision of the service or of the service development plan.