Background to this inspection
Updated
21 January 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 1 inspector.
Service and service type
Harold Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Harold Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 1 person living at the home and 2 relatives. We spoke with the deputy manager, 1 support worker and the registered manager. We observed people and staff interactions throughout the day. We reviewed 2 people’s care records including risk assessments and 2 staff files in relation to training and induction. We also reviewed a range of management records including staff training and supervision, medicines, and complaints
Updated
21 January 2023
About the service
Harold Lodge is a care home providing care for 4 people. At the time of our inspection there were 4 people using the service. The home is on 2 floors, bedrooms are on the ground floor and the 1st floor. Other facilities such as the kitchen and lounge area are on the ground floor.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People's experience of using this service and what we found
Right Support:
The service supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives. Staff supported them in the least restrictive way possible and in their best interest; the policies and systems in the service supported this. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. Staff enabled people to access specialist health and social care support in the community.
Right Care:
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Right Culture:
People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.
The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 10 February 2020) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we made 2 recommendations, for the provider to seek guidance on reviewing care plans and good governance, the provider had made improvements in these areas.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We carried out an unannounced comprehensive inspection of this service on the 28 November 2019 and the 02 December 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve practices around the area of consent.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions, Effective, Responsive and Well-led which contain those requirements.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Harold Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.