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Norton Lees Hall and Lodge Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 October 2019

About the service

Norton Lees Hall and Lodge is a residential care home providing personal care to 43 people at the time of the inspection. The service can support up to 80 people in a purpose-built facility over two floors and four wings, each with a separate dining room and lounge. At the time of our inspection only three wings were in operation.

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

Risks to people were assessed and their safety managed, however some identified risks were not recorded consistently throughout people’s records and staff were not always aware of these. Checks concerning the environment and equipment took place, however provider oversight of these was not effective. Medicines were generally administered safely although records for creams were not always up-to-date. Not all staff had received recent medicine administration training, although competency checks on staff administering medicines were undertaken. Systems were in place to protect people from abuse. Staff were knowledgeable about safeguarding processes. People’s dependency needs were checked regularly to support staffing levels. Relatives and staff told us staffing levels were adequate. Infection control procedures were in place and regular cleaning took place. Action plans were produced as a result of accident analysis and recent staff meetings showed discussions about lessons learnt.

Most staff had not received mandatory training, recent training had taken place for some staff and plans were in place for the completion of all training by the end of September 2019. People’s needs and choices were assessed. People were supported to eat and drink and this was monitored to maintain a balanced diet. People told us the food was good. A handover took place at the start of each shift, daily flash meetings had recently taken place to share information. Staff were responsive to people’s health needs and visits from health professionals were recorded. Consent to care was sought in line with guidance. 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 treated with dignity and care. People were given choice and supported to express their views and decisions. People’s privacy and dignity were respected and promoted.

Most people’s care plans were not consistently updated to reflect their changing needs. People’s care plans recorded their likes, dislikes and preferences, however information about people’s life history was limited. Staff were generally knowledgeable about people. Concerns and complaints were recorded and responded to appropriately. People were supported at the end of their life.

It was evident there had been a lack of robust oversight and governance at the home however the new interim manager had made preparations to improve the service. Governance frameworks had recently been put in place and staff were clear about their responsibilities. Surveys asking people, relatives and staff about the care had been undertaken, however analysis had not taken place. Relatives, staff and professionals spoke positively about the current culture at the home. Regular meetings for people and relatives had recently been planned, regular staff meetings took place. The service had an action plan showing the planned improvements for the home although progress against some of these actions had not been undertaken as expected. There was evidence the home worked with other partner organisations.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This is the first inspection for this new provider, registered 17 December 2018. The last rating for this service was inadequate (published 19 May 2018). Since this rating was awarded the registered provider of the service has changed. We have used the

Inspection areas

Safe

Requires improvement

Updated 24 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 24 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 24 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 24 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 October 2019

The service was not always well-led.

Details are in our well-led findings below.