Archived: Haslingden Hall and Lodge

Updated 5 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector, two medicines inspector, an inspection manager and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Haslingden Hall and Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We also reviewed information from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with six people who used the service, four family members and one visiting professional. We also spoke with ten members of staff including the registered manager.

We reviewed the care records for six people. We looked at the recruitment records for two staff, policies and procedures, complaints, quality assurance records and staff supervisions. We also observed medicines administration and reviewed fourteen medicine administration records .

Updated 5 September 2019

About the service

Haslingden Hall and Lodge is a residential care home. Haslingden Hall and Lodge is a purpose-built care home which accommodates up to 76 people across four separate wings. Two of these areas are designed to provide care to people living with dementia. The service was providing personal care to 61 people aged 65 and over at the time of the inspection.

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

People told us they felt safe. The provider had reported any potential safeguarding matters appropriately.

Recruitment was not always safe. A full employment history was not being requested and references from previous care employment were not taken up. We made a recommendation that the provider undertakes robust recruitment checks.

Medicines were not always managed safely. We recommend the service review the ‘when required’ protocols for all people living in the home and staff administering medicines must be competency assessed and trained appropriately.

There were mixed responses around the quality of meals. People's needs had been assessed and care plans were detailed. People were supported to maintain their health and wellbeing.

The service was compliant with the Mental Capacity Act. 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 received care which was responsive to their needs and people were treated with dignity and respect. Care and support plans had been regularly reviewed to reflect any changes in the person’s needs and wishes.

People had been referred for further input from professionals when required. People were encouraged to raise any concerns. Complaints had not always been addressed appropriately in the past, but the new registered manager had identified this and improvements had been made.

The registered manager was committed to improving care and the issues found on inspection had been addressed in an action plan. Staff felt the registered manager was approachable. Audits were taking place.

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

Rating at last inspection and update

The last rating for this service was good (published 10 March 2017)

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding’s and medicine management. A decision was made for us to inspect and examine those risks. We have found evidence that the provider needs to make some improvements. Please see the safe section 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.