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Laxton Hall Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 December 2019

About the service

Laxton Hall is a residential care home for up to 29 older people and people living with dementia. At the time of inspection there were 28 people living at the home.

Laxton Hall is a care home for older Polish people. It is staffed by the Polish Sisters of Mary Immaculate and Polish care staff. This Polish community provides for the religious and cultural as well as the physical needs of people.

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

There was a registered manager who had been the manager of the service since it registered with CQC in January 2011.

The provider did not always take prompt action to make changes where audits identified people could be at risk from environmental issues. People were at risk of accessing areas that contained hot surfaces or cleaning materials. The provider had not ensured there were window restrictors on bedroom windows on the first floor. Following our inspection, the provider took immediate action to ensure people were safe. Further improvement was required to improve the management oversight of the environment to ensure people did not have access to areas that contained items that could cause them harm.

Although people received their prescribed medicines as planned, further improvement was required to ensure staff had clear instructions for ‘as required’ medicines.

People were very happy living with other Polish people who had experienced similar lives. Polish staff supported people to reflect on their lives using story-telling, song and crafts, creating a safe culture. There was a strong sense of community.

Staff understood their roles and responsibilities to safeguard people from the risk of harm. People were supported to access relevant health and social care professionals.

There were enough staff deployed to meet people’s needs. People’s risks were assessed at regular intervals or as their needs changed. Care plans informed staff how to provide care that mitigated these known risks.

People received care from staff they knew. Staff had a good understanding of people's needs, choices and preferences. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.

People were involved in the planning of their care which was person centred and updated regularly. People were supported to express themselves, their views were acknowledged and acted upon. There was a complaints system in place and people were confident that any complaints would be responded to appropriately.

Staff were recruited using safe recruitment practices. Staff received training to enable them to meet people’s needs and were supported to carry out their roles.

The management team continually monitored the quality of the service, identifying issues and making changes to improve the 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.

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 Outstanding (published 4 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified two breaches in relation to health and safety of the environment and management oversight of these at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.

Inspection areas

Safe

Requires improvement

Updated 20 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 20 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 20 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 20 December 2019

The service was not always well-led.

Details are in our well-Led findings below.