Blossom Lodge

“People’s needs were not consistently assessed or clearly documented. Conflicting information within care plans and a lack of evidence-based guidance, meant staff did not always have clear information to deliver safe and appropriate care. Communication systems were not robust; staff were not always provided with effective handovers. Staff did not always follow the principles of the Mental Capacity Act; we found some people lacking appropriate capacity assessments regarding decisions about their care.”

“People did not always receive individualised or responsive care due to inconsistent care planning, poor communication, and limited staff time. People were not always provided with meaningful activities or stimulation. Whilst there were some systems in place to gather feedback from people about their care and support, improvements were required to ensure care was consistently responsive to people’s preferences and needs.”

“The service was not consistently well-led. Auditing and governance systems failed to identify and address significant risks we found during our assessment. Leadership oversight was limited, and there was no clear quality improvement plan to drive sustained improvements. Staff feedback about management, culture, and communication was mixed, and not all staff felt supported or able to raise concerns. While the service worked with external professionals, overall leadership, oversight, and organisational culture did not consistently support safe, high-quality care.”