We carried out a review of the data available to us about Harrier Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Harrier Lodge, you can give feedback on this service.
Harrier Lodge is registered to provide nursing and residential care for 65 older people. At the time of this inspection there were 42 people living in the service.
Harrier Lodge has four units: Pebble which is a nursing unit for people living with dementia, Oyster for people who have general nursing needs, Driftwood for general residential needs and Seashell for those living with dementia who require residential support.
People’s experience of using this service and what we found
People told us they were safe at the service and well supported by staff. A person said, "The staff are kind here and I like them." A relative said, “My mother is very well cared for. Room cleanliness, monitoring of medication and healthy meals are all excellent.”
People were safeguarded from the risk of abuse. Risks to health and safety had been managed and people received safe care and treatment. Medicines were managed safely in line with national guidance. Sufficient staff were deployed and safe recruitment practices were in place. Infection was prevented and controlled. Lessons were learned when things went wrong.
Quality checks monitored and evaluated the service, regulatory requirements were met and good team-working was promoted.
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 Requires Improvement (published 20 February 2020).
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 30 December 2019. Breaches of legal requirements were found. The registered provider completed an action plan after the last inspection to show what they would do and by when to improve the delivery of safe care and treatment and to monitor the operation of the service.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Harrier Lodge on our website at www.cqc.org.uk.
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.
Harrier Lodge is a residential care home providing personal and nursing care to 56 people aged 65 and over at the time of the inspection. The service can support up to 65 people.
Harrier Lodge has four units: Pebble which is a nursing unit for people living with dementia, Oyster for people who have general nursing needs, Driftwood for general residential needs and Seashell for those living with dementia who require residential support. People have access to a garden and on the ground floor is a café, hairdressing salon and cinema room which people can use.
People’s experience of using this service and what we found
People and their loved ones told us they felt safe at the service. However, we found that staff did not always have the guidance required to manage risks to people. Staff could not always tell us how to position people to prevent their skin from breaking down and charts were not in place to record people’s position. Staff did not have all the information they needed about people’s catheter care. A catheter is a tube to remove urine from a person’s bladder.
Audits had been completed but these had not identified the shortfalls found at this inspection. Care plans were not always complete and the most up to date information was not always available to all staff. Some people’s end of life care plans would benefit from more detail about their preferences and wishes. Following the inspection, the registered manager sent us updated risk assessments, care plans and an action plan showing how they would address the shortfalls identified.
People were treated with kindness and respect by staff. People were encouraged to remain independent for as long as possible and relationships with loved ones were encouraged and supported. People were supported to have a diet and lifestyle which supported them to stay healthy. Staff worked with healthcare professionals to ensure people stayed well and free from pain. Medicines were managed well.
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 took part in a range of activities they enjoyed. People were involved in planning their care. People took part in running activities if they wished and had formed a residents committee.
People told us the registered manager was accessible and open. People and their loved ones were invited to give their views in a range of ways. Actions were taken to address concerns and complaints and any changes made were shared with people. Staffing levels were based on people’s dependency levels and staff were recruited safely.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 02 January 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Enforcement
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.