Working at Devon Lodge

Some medication risks like missing rescue meds and seizure plans aren't fully covered, and kitchen often locked without good reason limiting choice.

We were not assured that all of the known medicines related risks had been appropriately assessed... risk assessments did not fully consider or mitigate how this medicine was to be administered when undertaking specific activities such as swimming... The main kitchen was mostly kept locked during the day.

Training covers basics like induction and autism but misses specialist communication tools like Makaton with delays fixing gaps.

At our last inspection we had noted that staff were not trained in the use of all of the communication tools... it was not clear to us why there had been a delay in taking action to address this training need.

Manager approachable and staff like them but oversight misses risks like meds and incident recording issues.

The governance arrangements continued to not been fully effective at identifying all of the areas where the quality and safety of the service was compromised... review was not sufficiently thorough as it had not identified... recording the use of physical interventions.