Haydons Lodge

Updated 15 March 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 was carried out by an inspector.

Service and service type

Haydon’s Lodge is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the CQC to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke in-person with 3 people living at the care home, the registered manager and 2 care workers. We also received email feedback from 3 community health care professionals in relation to their views and experiences of working with this provider including, 2 GPs and a community psychiatric nurse.

Records we looked at as part of this inspection included, 4 people’s electronic care and risk management plans, 2 staff files in relation to their recruitment and multiple medicines records. A variety of other documents relating to the overall management and governance of the care home were also read.

After our visit we continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection. This included staff training matrix, the providers medicines policy, feedback from people living in the care home and audits conducted by the providers quality assurance manager/director. We received this information as requested, which was used as part of our inspection.

Updated 15 March 2023

About the service

Haydon's Lodge is a residential care home providing personal care and support to up to 6 people. The service provides support to people with mental health care needs. At the time of our inspection 6 men aged 40 and over were living at the care home. Accommodation is divided into 2 adjoining terrace houses, each with their own adapted facilities and separate entrances with a shared communal garden.

People’s experience of using this service and what we found

Most people received their prescribed medicines as and when they should however, we have made a recommendation about the management of some medicines.

At our last inspection the provider had failed to ensure all the care homes fire-resistant doors were appropriately maintained, personal emergency evacuation plans (PEEP’s) were in place for everyone and their governance systems were effectively managed.

At this inspection we found enough improvement had been made and the provider was no longer in breach of regulation. This was because fire-resistant doors were now appropriately maintained and fit for purpose, up to date PEEP’s were in place for everyone wo lived at the care home and they had introduced electronic governance systems that were operated more effectively.

The feedback we received from people living in the care home and community health care professionals was positive about the standard of care provided at Haydon’s Lodge. A person said, “I like living here…I’m very happy at Haydon’s Lodge.” A community health care professional added, “I have always found the staff at Haydon’s Lodge very professional and responsive.”

Staff understood how to safeguard people. People were cared for and supported by staff who knew how to manage risks they might face. The premises were kept hygienically clean and staff followed current best practice guidelines regarding the prevention and control of infection including, and those associated with testing for COVID-19 and the wearing of personal protective equipment (PPE). The care home was adequately staffed by people whose suitability and fitness to work there had been thoroughly assessed.

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 living at the care home and staff working there were all complimentary about the way the service was managed, and how approachable the managers and staff were. The provider promoted an open and inclusive culture which sought the views of people living at the care home, their relatives, community health and social care professionals and staff. The provider worked in close partnership with various community health and social care professionals and agencies to plan and deliver people's packages of care and support.

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 7 July 2022) and there was a breach of regulation.

Why we inspected

We carried out an unannounced focused inspection of this service on 7 July 2022 when breaches of legal requirements were found. The provider completed an action plan after the last inspection to show us what they would do and by when to improve how they managed fire safety and quality assurance.

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 safe and well-led, which contain those requirements and issues we discussed with the provider at their last inspection.

We also 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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Based on the findings at this inspection we found improvements had been made and the provider was no longer in breach of regulation. The overall rating for the service has therefore changed from requires improvement to good.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Haydon’s Lodge on our website at www.cqc.org.uk.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We made a recommendation at this inspection in relation to how the provider managed medicines given covertly.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information, we may inspect sooner.