Background to this inspection
Updated
10 March 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 23 and 25 January 2017 and the first day was unannounced. The inspection was carried out by one adult social care inspector, one adult social care inspection manager, a specialist professional advisor (SPA) in the care of people living with a dementia and two experts by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
During our inspection we undertook a number of different methods to identify the experiences of people who used the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spent some time observing how staff supported people who used the service in the public areas of the home.
Before our inspection we checked the information we held about the service. This included information we had received about any concerns or compliments and any notifications we had received from the provider. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection we spoke with the 28 people who used the service, 10 relatives and two professionals visiting the home. We also spoke with the registered manager who was in day to day charge of the home, the home manager who had oversight of the running of the home, two deputy managers, 11 members of care staff, the activities co-ordinator and the chef. We undertook a tour of the premises which included a number of people’s bedrooms and communal areas of the home. We also made observations of how staff and people using the service interacted with each other.
We looked at a sample of records including five people's care plans, four staff files, training and supervision records. As well as records relating to the operation and management of the home including audits quality monitoring and maintenance.
Updated
10 March 2017
Haslingden Hall and Lodge is a purpose built care home located in a residential area of Haslingden, Lancashire. The home provides care and support for up to 76 people. The home is divided into two units, one being a residential unit and the other unit for people who are living with a dementia. At the time of our inspection there were 71 people living in the home.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
At the last inspection on 2 February 2015, we found the service was meeting the required regulations. During this inspection the service was meeting the current legislation.
People's medicines were managed safely and were administered by staff who were trained and competent.
Systems were in place to ensure staff were recruited safely and appropriate staffing numbers were in place to meet people’s individual needs.
People who used the service and relatives told us they felt they were safe in the home. Staff had received training in the protection of vulnerable adults and polices were in place to guide staff on the process for reporting.
Staff told us and records confirmed that staff received up to date training to enable them to fulfil their role. There was a comprehensive induction programme that was completed by staff on commencement of their role.
People experienced a positive dining experience in all of the dining areas in the home. Tables were nicely set with condiments, cutlery and napkins which promoted a positive dining experience.
People had access to health care professionals to ensure any health conditions were assessed and treated.
People were treated with dignity and respect. Staff were observed interacting kindly with people, offering calm, gentle support where required. We observed positive, meaningful relationships between staff and people who used the service. Care files provided evidence of people’s or relatives involvement in the development of their care files.
Care files were in place which included preadmission assessments, care plans and risk assessments to guide staff on people’s individual needs.
There was a comprehensive system in place for dealing with complaints. People had access to information on how to raise any complaints if they had any concerns. We received positive feedback about the home and the care people received.
There was a varied and comprehensive activities programme available for people who used the service.
We received positive feedback from all the people we spoke with about the registered manager and the improvements she had made.
There were regular and recent audits taking place in the home. The registered manager told us the provider undertook regular audits in the home and reviews of these were completed to ensure improvements had been made.
We saw evidence of satisfaction surveys taking place in the home. Feedback was positive and demonstrated the positive experiences of people who used the service.