# Shaf Lodge

*Operated by Spotlight Healthcare Services Limited.*

Shaf Lodge is a CQC-regulated home-care agency in Southend On Sea.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 17/08/2023

## Practical info

- Postcode: SS0 0NF
- Registered manager: Welsing-Quacoe, Kweku
- Local authority: Southend-on-Sea
- Region: East
- City: Southend On Sea
- Last CQC check: 17/Aug/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Provider no longer in breach of Regulations 11, 12 or 17 following improvements since last inspection.
  - Published: 2023-08-17
- Finding
  - Evidence: Open and transparent culture encouraging incident reporting and learning.
  - Published: 2023-08-17
- Finding
  - Evidence: Relatives were highly complimentary about the organisation and care provided.
  - Published: 2023-08-17
- Finding
  - Evidence: Strong partnership working with Local Authority, healthcare professionals and external agencies.
  - Published: 2023-08-17
- Finding
  - Evidence: Person-centred support enabling individual choice over meals, activities, clothing and daily routines.
  - Published: 2023-08-17
- Finding
  - Evidence: Regular supervisions in place enabling staff to reflect on practice and discuss professional development.
  - Published: 2023-08-17
- Finding
  - Evidence: Robust induction programme including Care Certificate completion and shadowing with experienced staff.
  - Published: 2023-08-17
- Finding
  - Evidence: Staff received mandatory and specialist training including autism, learning disability and mental health-specific training.
  - Published: 2023-08-17
- Finding
  - Evidence: Safe medicines management with MAR records confirming correct administration; competency assessments being implemented.
  - Published: 2023-08-17
- Finding
  - Evidence: Sufficient staffing levels maintained across all Supported Living Schemes visited.
  - Published: 2023-08-17
- Finding
  - Evidence: Staff demonstrated thorough knowledge of safeguarding, MCA principles, and risk management strategies.
  - Published: 2023-08-17
- Finding
  - Evidence: People told us they were safe; relatives expressed complete peace of mind about their family members' safety and wellbeing.
  - Published: 2023-08-17
- **person_centred_care** _(minor)_
  - Evidence: arrangements to seek people's views and those acting on their behalf as part of a satisfaction survey had not been conducted since our last inspection in October 2021.
  - Published: 2023-08-17
- **governance** _(minor)_
  - Evidence: improvements to the Service Improvement Plan were required to ensure actions highlighted were actioned in a timely way. Where proposed dates for completion had not been met a revised date had not been recorded.
  - Published: 2023-08-17

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2201879987

HomeCare Compass is an independent guide and is not affiliated with the CQC.