Working at Lapwing Lodge

Staff did not always spot or report abuse incidents, leading to repeated harm and a regulator referral.

One staff member told us of an incident they observed which constituted abuse, but they did not know they could report this to the local authority safeguarding team or CQC. Following the inspection, we made a safeguarding referral in relation to this incident and the on-going risks posed.

Training records are out of date with gaps in staff knowledge on key topics like mental capacity, and no checks to confirm they understand it.

The training matrix was out of date, and it was not clear which staff had completed which training. There were no checks in place to ensure staff understood the content of the training they received and were able to apply this learning.

Manager is only on site two days a week, so audits and oversight of risks and quality are not done regularly.

The registered manager spent two days per week at the service, as they also managed another of the providers locations. They told us this impacted on their ability to keep on top of management tasks, such as auditing.