We carried out a review of the data available to us about Haslingden Hall and the 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 Haslingden Hall and the Lodge, you can give feedback on this service.
Haslingden Hall and the Lodge is a purpose built care home located in a residential area of Haslingden, Lancashire. The home provides care and accommodation for up to 76 people including, people living with dementia and people with physical disabilities. There were 46 people accommodated in the home at the time of the inspection.
People’s experience of using this service and what we found
People told us they felt safe living in the home, and they were happy with the service provided. Staff had received training on safeguarding vulnerable adults and had access to the provider’s policies and procedures. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. The recruitment procedures had been improved and ensured prospective staff were suitable to work in the home. People received their medicines safely. Risk assessments enabled people to retain their independence and receive support with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection. The premises had a satisfactory standard of cleanliness and were protected from the risk of infection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs were assessed prior to them using the service. There was ongoing training for all staff. Staff were supported with regular supervisions and were given the opportunity to attend regular meetings to ensure they could deliver care effectively. People were supported to eat a nutritionally balanced diet and to maintain their health.
Staff treated people with kindness and respect and spent time getting to know them and their specific needs and wishes. We observed positive interactions between staff and people who lived in the home. Staff were responsive to people's needs. People were provided with appropriate activities and had access to a complaints procedure. All people had a care plan which was reviewed at regular intervals.
The registered manager and staff had worked hard to address the shortfalls identified at the last inspection. The management team carried out a series of audits to check and monitor the quality of the service and ensure records were completed accurately. The registered manager provided clear leadership and considered the views of people, their relatives and staff in respect to the quality of care provided. The registered manager and staff used the feedback to make ongoing improvements to the service.
Rating at the last inspection
This service was registered with us on 23 November 2020 and this is the first comprehensive inspection. Previously, we carried out focused inspections on 19 November 2020 (published 18 December 2020) and 13 January 2022 (published 1 March 2022).
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection and provide an overall rating.
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 COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Haslingden Hall and the Lodge is a purpose built care home located in a residential area of Haslingden, Lancashire. The home provides care and accommodation for up to 76 people including, people living with dementia and people with physical disabilities. There were 56 people accommodated in the home at the time of the inspection.
People’s experience of using this service and what we found
Whilst people had mixed views about the service, they told us staff employed by the home were caring and respectful. There were sufficient staff deployed to meet people’s needs, however, staff on the ground floor were not well organised, which resulted in them missing a care task on the first day of the inspection. There were shortfalls in people’s care plans and records and risks to people’s health safety and well-being had not always been assessed and managed.
The provider had established safeguarding systems and processes, however, staff had not alerted the registered manager to three incidents which occurred in October 2021. This meant the information had not been raised with the local authority under local safeguarding procedures. The registered manager raised the alerts during the inspection.
Whilst police checks and references had been obtained prior to new staff working in the home, we noted there were gaps in two staff members’ recruitment records. The registered manager assured us this issue would be addressed.
The registered manager and staff followed safe processes to ensure people's medicines were managed safely. However, we noted shortfalls in the way people’s prescribed creams were recorded.
The home had a satisfactory standard of cleanliness and staff were following current infection prevention and control guidance. We observed all staff were wearing personal protective equipment (PPE) appropriately during the inspection. There were plentiful supplies of PPE and there were posters displayed around the home to reinforce procedures.
Staff spoken with were complimentary about the management of the home. The registered manager and area manager had completed a series of audits covering the operation of the service and had devised action plans following any shortfalls. However, the action plans had not been fully implemented and followed up to ensure the necessary improvements had been made and sustained.
People and their relatives had been invited to complete satisfaction surveys, however, the relatives spoken with felt methods of communication could be improved.
Following the inspection, the registered manager sent us an action plan which set out their response to the inspection findings. We will check improvements to the service on our next visit to the home.
Rating at the last inspection
The service was registered with us on 25 November 2019 and was last inspected on 19 November 2020 (published 18 December 2020). The home was not rated. The last rating for the service under the previous provider was good, published on 5 September 2019.
Why we inspected
We received concerns in relation to people’s care, infection prevention and control practices, record keeping and management of the home, as a result we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can read the report from our last inspection, by selecting the ‘all reports’ link for Haslingden Hall and Lodge on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to the management of risks and safeguarding incidents as well as the governance of the service.
You can see what action we have asked the provider to take at the end of this full 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.
The service had 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.
People’s experience of using this service and what we found
Relatives of people living in the home, told us they were confident the home kept people safe. People were supported by staff who had been recruited safely. Staff had received training to support people to keep safe from abuse and avoidable harm. Additional infection prevention and control policies had been developed, by the provider, in response to the pandemic. The home was clean and hygienic. A visiting health professional praised cleanliness and organisation of the home.
The registered manager provided effective leadership and was clear about the quality of care they expected in the home. Staff felt confident in the registered manager and said they found them to be approachable and supportive. The views of people living in the home had been regularly sought and changes had been made in response to concerns raised. The provider and registered manager were committed to working effectively with partner agencies to ensure people received consistent care. A new procedure had been developed to improve communication with community-based health staff. This had just started during this inspection.
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 the service under the previous provider was good, published on 4 September 2019.
Why we inspected
We received concerns in relation to skin care and communication with other professionals. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
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.