Our current view of the service
Updated
4 April 2025
Date of Assessment: 14 January 2025 to 14 February 2025. The assessment was conducted following concerns received from key stakeholders regarding risk management. The service is a nursing home providing support to older people, younger adults, people living with dementia, physical disabilities and sensory impairment. Harborne Lane Nursing Home is a purpose-built care home across 3 floors. People have their own bedrooms and shared living, dining and garden areas. The home can accommodate 68 people. At the time of the assessment 60 people lived at the service. We found 5 breaches of regulation relating to person centred care, safe care and treatment, consent, safeguarding service users from abuse and improper treatment and good governance. We found concerns about people not being protected from abuse and neglect. Concerns related to safety, incidents and accidents. We found concerns about a lack of consistent investigation and analysis when things had gone wrong. We found issues with Deprivation of Liberty Safeguards (DoLS) records and best interest documentation. In relation to person-centred care and need for consent we have requested the provider send us an action plan.
People's experience of the service
Updated
4 April 2025
People were not always protected from the risk of potential harm. Some relatives also told us they did not always feel involved in their loved one’s care. People generally felt there were enough staff to support them. Some people felt that their needs were not consistently met in a timely manner. People told us the staff were kind and caring although at times had to wait for staff to attend to their needs. One person told us, “Not enough staff around, they are always busy.” Another person told us, “Sometimes you can’t find anyone in the lounge to assist us.” People’s rights had not always been fully protected with regard to consent to care or best interest decisions about care made on their behalf. Whilst most people expressed general satisfaction with the care delivered, our inspection found elements of care and support that did not meet expected standards. People and relatives were mostly positive about their experience and were generally happy with care provided. Relatives felt welcomed and looked after well while they visited people in the service. People and relatives were able to share their feedback about care and support. We observed the interactions between people and staff, which were mostly positive. However, some of the feedback from people and relatives, and evidence gathered demonstrated people were not always involved in decision making, care planning or supported with risk management. Care records did not always accurately reflect people’s needs. There was limited evidence to demonstrate people and their relatives had been involved in the assessment and the development of care plans or in reviews of their care. Systems and processes in place to ensure people received their medicines appropriately were not robust and did not provide assurances that people always received their medicines as prescribed for them. People were cared for by staff that had been recruited safely. People had access to specialist equipment they needed, such as walking aids.