Evergreen Lodge

“Date of the assessment 3 March 2026 to 25 March 2026. Evergreen Lodge is a care home with nursing, which providers accommodation and personal care as a single package under one contractual agreement. The service is a 40 bedded care home split over 4 units and 2 floors. At the time of the assessment the service was at maximum capacity. During the assessment we looked at all the 5 key questions. The provider was in breach of regulations relating to dignity and respect, consent to care, safe care and treatment, good governance and staffing. The provider did not adhere to the principles of the Mental Capacity Act. There was no evidence that all practical steps had been taken to support people in making their own decisions. There was no evidence that people had been provided with information in a way they could understand to support them to make decisions. The best interest process had not always been followed to ensure decisions were made in the person’s best interest and that appropriate people were involved in the decision-making process. When a person required the use of restraint to protect their well-being and safety, this was not always clearly recorded and there was little evidence a debrief did had taken place. Debriefs are important for peoples emotional and psychological wellbeing as well as learning and reflection. Accident and incidents were not always fully recorded and lacked lessons learned to drive improvement and mitigate further risks. We observed positive interactions between staff and people who lived in the home. Permanent staff knew people well and this was evident through their interactions. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.”