We carried out a review of the data available to us about Harrowby Lodge Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Harrowby Lodge Nursing Home, you can give feedback on this service.
Harrowby Lodge Nursing Home is a residential care home providing personal and nursing care to 22 people aged 65 and over at the time of the inspection. The service can support up to 30 people.
People’s experience of using this service and what we found
Quality monitoring of the service was not robust. Audits did not always identify shortfalls in the service. The registered manager and provider were open, transparent and responsive to shortfalls we identified and took prompt action to bring about the required improvements.
People received personalised care and their needs and risks were assessed and monitored. Care plans were person centred with people and their relative’s views at the centre of them. There were several meaningful activities available to people and the service had good links with the local community.
There were enough experienced and qualified staff to safely meet people’s needs. Staff knew people well and were kind and considerate when delivering care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People, relatives and staff thought the service was well managed. They felt supported and able to raise any concerns which were taken seriously. Several compliments were on display which referred to the quality of care people received.
Medicines were administered safely, and accidents and incidents reported where required.
Infection prevention and control procedures ensured as much as practicably possible people were protected from the risk of infectious diseases.
The service worked in partnership with health professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good last (01 November 2019).
Why we inspected
The inspection was prompted in part due to concerns we received in relation to safe care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Harrowby Lodge Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Harrowby Lodge Nursing Home is a residential care home providing personal and nursing care to up to 30 people, some of whom are living with dementia. At the time of the inspection, there were 26 people living in the home.
People’s experience of using this service and what we found
People were protected from avoidable harm and abuse. Staff followed robust safety monitoring systems to ensure risks to people were well-managed. People told us they felt safe and well-looked after.
Staff provided the right care and support which achieved good outcomes for people. They involved people in developing their care plans and regularly reviewed this to ensure care remained up to date.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We received positive feedback about the caring attitude of staff. Staff demonstrated compassion and respected people’s individual choices.
Staff supported people to maintain their hobbies and interests. People engaged in a range of group and individual activities, inside and outside of the home.
People, relatives and staff told us the service was well managed. People told us the care they had received had a positive impact on their lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 23 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Harrowby Lodge Nursing Home is registered to provide accommodation, nursing and personal care for 30 people. It can provide care for adults of all ages including people who live with dementia and/or who have a physical disability.
The service was run by a company that was the registered provider. The company was made up of two directors. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run. In this report when we speak about both the company and the registered manager we refer to them as being, ‘the registered persons’.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
Staff knew how to keep people safe from the risk of abuse and they helped to prevent avoidable accidents. Medicines were managed safely, there were enough staff on duty and background checks had been completed before new staff had been appointed.
Staff knew how to support people in the right way. People had been helped to eat and drink enough and they had been supported to receive all of the healthcare assistance they needed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice.
People were treated with kindness, compassion and respect. Staff recognised people’s right to privacy and promoted their dignity. Confidential information was kept private.
People had been given all of the care they needed and wanted to receive. People had been supported in an imaginative way to pursue their hobbies and interests. There was a system for quickly and fairly resolving complaints.
People had been consulted about the development of the service. Most of the necessary quality checks had been regularly completed to ensure that people received safe care. Staff were supported to speak out if they had any concerns and good team work was promoted. People had benefited from staff acting upon good practice guidance.
Further information is in the detailed findings below
Harrowby Lodge Nursing Home provides accommodation for up to 30 people who need nursing and personal care. The service provides care for older people some of whom are living with dementia. The main accommodation is an adapted older two storey building to which a purpose built ground floor extension has been added. In the main building there is a passenger lift to assist people to get to the upper floor. The service has 22 single bedrooms and three double rooms, which two people can choose to share.
There were 27 people living in the service at the time of our inspection.
This was an unannounced inspection carried out on 18 December 2014. There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The Care Quality Commission is required by law to monitor how a provider applies the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way. This is usually to protect themselves or others. At the time of our inspection no people had had their freedom restricted.
We last inspected Harrowby Lodge Nursing Home in October 2013. At that inspection we found the service was meeting all the essential standards that we assessed.
People were helped to stay safe. Staff knew how to recognise and report any concerns so that people were kept safe from harm. Staff helped people to avoid having accidents. People’s medicines were safely managed. There were enough staff on duty. Background checks had been completed before new staff were appointed.
Staff had been supported to assist people in the right way. People had been helped to eat and drink enough to stay well. People’s rights were protected because the Mental Capacity Act 2005 Code of Practice and the Deprivation of Liberty Safeguards were followed when decisions were made on their behalf.
People were treated with kindness, compassion and respect. Staff recognised people’s right to privacy, respected confidential information and promoted people’s dignity.
People received all of the care they needed. People and their relatives had been consulted about the care they wanted to be provided. Staff knew the people they were supporting and the choices they had made about their care. They were aware of how to care for people who lived with dementia and who needed extra support. People were offered the opportunity to pursue their interests and hobbies. There was a good system for handling and resolving complaints.
People had been consulted about the development of the service. The registered manager had completed regular quality checks to make sure that people reliably received the care they needed in a safe setting. There was an open culture that encouraged staff to speak out if they had any concerns. People benefited from receiving a high standard of end of life care due to the service having made nationally accredited support arrangements.
We found where people were able to they gave consent to their care and treatment. A person who used the service told us, 'I get asked what I want to do, very much so. Staff speak nicely to me. They get my clothes out the night before, they ask me what I want putting out for the morning.'
We found people were provided with a varied and nutritional diet. A person who used the service said, 'We have nice meals, there is a wonderful choice. I am sure there are not many places who give such a choice.'
We found that suitable arrangements were in place to manage people's medication and ensure they received any medication they needed. We saw the nurse approach people and explain it was time for their medication. The nurse explained to some people what the medication was and why they needed to take this.
We found there were sufficient and suitable staff employed who were supported through training. A person told us if they pressed the call bell, 'Staff respond as quickly as possible. They are usually pretty quick.'
We found the provider maintained records that were accurate and fit for purpose. 'Staff write on my records when they have done it (care task), they are very good at that.'
We found people gave consent to their care and treatment and received care and support that met their needs. A person told us, 'I can decide what I want. I am enabled to be as independent as I can be.' We also saw information informing people about worship arrangements within the home. A person told us, 'I go to communion when it is here.'
We found people were safeguarded from abuse. Staff knew how to respond to any allegation of abuse or raise concerns if they suspected any wrong doing. A person who used the service told us, 'I have no worries about not being safe.'
We found the staff team were supported through training and individual support. A person told us, 'Some staff said they had used the hoist so they knew what it was like to be hoisted. That was a good idea so they know how it feels for me.'
We found people felt they would be able to raise any comments or complaints and that these would be acted upon. A person told us, 'I would say if anything needed to be said. I think they would listen to me.'
People told us they thought the home was friendly and homely. They said the food was good. A relative commented they appreciated the care staff took to ensure people were well presented. They said, 'It's the little things like making sure the beads match her outfit.'
We saw completed survey forms by people who use the service and relatives as well as a selection of thank you letters. These included many positive comments including, 'Nothing was too much trouble' and 'Staff are very professional and caring.'