Background to this inspection
Updated
14 November 2020
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.
As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
This inspection took place on 30 October 2020 and was announced.
Updated
14 November 2020
About the service
Hastings Lodge & Hastings Cottage is a residential care home providing personal and nursing care for 14 people with Dementia, mental health, learning disabilities or autistic spectrum disorder. Hastings Lodge & Hastings Cottage accommodates 14 people across two properties.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.
The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Improvements were required to medicine administration recording and auditing processes.
People told us they felt safe, listened to and well cared for by staff who knew them well and respected them as individuals. People felt the houses were a homely environment and had been involved in the decoration.
Care plans and risk assessments identified people’s needs and were written with people’s involvement and consent. People were supported to take risks when appropriate. However, we found some gaps in recording for oral care and in some daily notes. The registered manager agreed to rectify these issues.
Staff understood safeguarding and whistleblowing procedures and felt confident to raise any concerns to the registered managers. Any complaints had been dealt with appropriately and in a timely manner. The registered managers fed back all actions required to the relevant people and shared learning with staff.
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 were supported to maintain healthy lifestyles and referrals were made to healthcare professionals as required. People’s dignity and privacy was respected at all times.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Managers were available and accessible to everyone. Staff felt supported and had received appropriate training for their roles. There were enough staff on duty to ensure people could access activities and attend appointments.
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 13 May 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.