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Loughton Hall Requires improvement

The provider of this service changed - see old profile


Inspection carried out on 11 May 2021

During a routine inspection

About the service

Loughton Hall is a residential care home providing accommodation and personal care to 18 people aged 65 and over at the time of the inspection. The service can support up to 33 people.

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

Not all accidents and incidents had been reported appropriately as safeguarding referrals or as notifications to CQC. The service was working with the local authority to improve practice in this area and the provider has now reported any accidents or incidents that require a referral retrospectively.

There were inconsistencies in care records which were not always being kept up to date to guide staff on how risks were mitigated. However, staff we spoke with were clear about the risks associated with people’s care. The provider was in the process of updating all care records to an electronic system.

Despite no concerns being raised relating to staffing levels from people that used the service, we received some feedback from staff there was a risk of people's care needs not being met in a timely way as on some night’s numbers dropped if cover could not be obtained. We have recommended the provider assess the staffing levels at night.

People were protected from the risk of transmission of COVID-19 and other infectious diseases. The environment was clean and well maintained.

People were supported to have maximum choice and control of their lives and support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, improvements were needed to care plans in relation to capacity and consent and we have made a recommendation in this area.

People using the service were happy with the care they received. They told us staff were kind and met their needs.

Not all care records evidenced how people would want to be supported at the end of their life. We have made a recommendation about end of life care.

Audits on quality and safety were completed but had not identified all the shortfalls we found in areas such as reporting referring accidents and incidents and care planning.

Why we inspected

The inspection was prompted in part due to concerns received about medicines, safeguarding concerns infection control and staffing. A decision was made for us to inspect and examine those risks.

This service was registered with us on 06 November 2019 and this is the first inspection.

The last rating for the service under the previous provider was good, published on [12 September 2019].

We have found evidence that the provider needs to make improvement. Please see the relevant key question sections of this full report.

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.