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Inspection Summary


Overall summary & rating

Outstanding

Updated 4 April 2017

This unannounced inspection took place on the 27 January 2017. Laxton Hall provides accommodation for up to 29 people who require nursing or residential care for a range of personal care needs. There were 27 people in residence during this inspection.

There was 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.

The strong cultural and compassionate ethos of the service provided at Laxton Hall was evident in all areas. Everyone living there received person centred and culturally specific care, which promoted all aspects of being Polish and created a positive healing environment.

The provider had created a community where people who had shared experiences in their early life (during World War II) could be together, talk to each other where little explanation was needed for an immediate understanding and deep cultural bond. People consistently told us this was very important to them.

The registered manager was a trusted and respected leader who involved people in creating their community by having their say in how the home was run.

The provider staffed the home with Polish Sisters of Mary Immaculate an order that was recognised for their humanity, compassion. The Sisters were sent from the Mother House in Poland, they were experienced in care for the elderly, particularly those who have been affected by events of World War II. The sisters provided supervision and guidance to all staff, who also had a deep understanding of Polish culture, traditions and language.

People experienced warm caring relationships with staff where conversation and sharing traditional Polish pastimes including story-telling and singing incorporated people’s need to feel at home and promoted close bonds. Staff helped people to explore their life paths, successes and difficulties through reminiscence and conversation during activities. People described how living at Laxton Hall had brought them comfort and a sense of home. People could choose to actively practice their religious faith in the on-site chapel, accessible to all, and the priest was also an integral part of their community.

People received care and support from staff that had a deep understanding of their physical and psychological needs. Staff took time to get to know people and build relationships. People’s healthcare needs were met by staff who were competent at closely monitoring people’s clinical observations which enabled them to identify any deterioration in health quickly and respond. Staff referred people to health professionals for assessment of their mental and physical health where necessary. People were assisted to attend health and dental appointments and request that staff provided translation for them in medical appointments if they chose.

People chose whether they stayed at Laxton Hall when their health deteriorated. Experienced staff facilitated people’s wishes and provided end of life care that met their individual needs with kindness, compassion and understanding.

People’s visitors were always made to feel welcome; staff helped to maintain family relationships that were important to people. There was a room where relatives who had travelled a long way to see their relatives could stay overnight.

People felt safe at Laxton Hall; all staff understood their responsibilities to safeguard people and knew how to raise any concerns with the right person if they suspected or witnessed ill treatment or poor practice.

People’s needs were regularly reviewed so that risks were identified and acted upon as their needs changed and people’s care plans provided instruction to staff on how to mitigate people’s risks to ensure people’s continued safety. Staff u

Inspection areas

Safe

Good

Updated 4 April 2017

The service remains Safe

People were safeguarded from harm as the provider had systems in place to prevent, recognise and report any suspected signs of abuse.

People received their care and support from sufficient numbers of staff that had been appropriately recruited and had the skills and experience to provide safe care.

Risks were regularly reviewed and, where appropriate, acted upon with the involvement of other professionals so that people were kept safe.

People’s medicines were managed safely.

Effective

Good

Updated 4 April 2017

The service remains effective.

People received care from staff that had close supervision and support that enabled them to carry out their roles.

People received care from care staff that had the specific training and required skills they needed to meet people’s needs.

Care staff knew and acted upon their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005) and in relation to Deprivation of Liberty Safeguards (DoLS).

People received food and drink that related to their cultural and medical needs. People maintained a balanced diet.

People were supported to attend healthcare appointments.

Caring

Outstanding

Updated 4 April 2017

The service was very caring.

People felt at home at Laxton Hall where their close knit community upheld people’s Polish traditions and culture.

People received care from staff whose vocation was to provide humanity and compassion. People experienced these through conversations and sharing of life experiences which created close bonds with people who had undergone similar experiences and understanding staff.

People could observe their religious faith in the on-site chapel; where regular services and celebrations were held. The priest lived on site as an integral part of the community.

People experience respect and dignity in their care from staff who conveyed care and affection.

People were supported to maintain the relationships that were important to them; visitors were always welcome.

People chose whether they stayed at the home when their health deteriorated. The experienced staff facilitated people’s wishes and provided end of life care that met their individual needs with kindness, compassion and understanding.

Responsive

Outstanding

Updated 4 April 2017

The service was very responsive.

People benefited from a way of life that ensured their assessed needs were met by knowledgeable and compassionate staff.

People experienced care that fully met their physical, social, cultural and spiritual needs.

People tried living at the home for a short while to ensure that they were happy before committing themselves to moving in permanently.

People’s care was based on Department of Health research.

The provider had strong ties with the wider Catholic and Polish community, people travelled from all over the country to visit Laxton Hall for specific religious festivals and celebrations. Local people and people’s relatives joined people during Mass.

People were confident that their complaints would be listened to.

Well-led

Good

Updated 4 April 2017

The service was well-led.

The registered manager was a trusted and respected leader who provided clear direction that ensured that people received high quality care.

People provided feedback about the positive nature of their relationships with staff at regular well attended meetings. The provider responded to all feedback from people living at Laxton Hall and their relatives.

The provider continued to maintain the building to a very high standard and kept up to date with all the fire and electrical regulations, to ensure people’s comfort and safety.

Records relating to all aspects of care and management were fit for purpose and provided clear instruction to care staff; these were maintained in Polish and English. Records were securely stored to ensure confidentiality of information.

Staff had a good understanding of policies and procedures that guided them and underpinned their job role staff; these had been updated when required.

People’s entitlement to a quality service was monitored by the audits regularly undertaken by the registered manager and the provider. The manager used the audits to improve the service and feedback to staff at team meetings where improvements were required.

The provider had a detailed business continuity plan which detailed the actions they would take if the home had to be evacuated or there was a failure with one of the main services to the home.