Haywood Lodge

Updated 1 February 2023

Inspection team

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors on the first day of our inspection and three inspectors on the second day of our inspection. An Expert by Experience was used to gather feedback from people’s relatives about their experiences of care at Haywood Lodge. 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

Haywood Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Haywood Lodge is a care home without nursing care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was no registered manager in post.

Notice of inspection

This inspection was unannounced on the first day and we informed the provider we would return for a second day to complete the inspection visit.

Inspection activity started on 17 November 2022 and ended on 23 November 2022 .

What we did before the inspection

We reviewed information we had received about the service since it registered and gathered feedback from the local authority and 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with 8 members of staff including the regional director, acting home manager, deputy manager, commissioning director, care staff and the chef. We spoke with 8 people and 14 relatives for feedback on their experiences of care, 1 visiting healthcare professional and carried out observations. A range of documents were reviewed including 5 people’s care plans and a range of medicine records. We also looked at a variety of records relating to the management of the home including 3 recruitment files, handover records, audits and policies and procedures.

Updated 1 February 2023

About the service

Haywood Lodge is a residential care home providing personal care to up to 66 people. The service provides support to older adults with sensory impairment and those living with dementia. At the time of our inspection there were 18 people using the service.

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

Timely action to ensure people were safeguarded from the risk of abuse was not always taken and assessed risks to people’s health and safety were not always well managed. We were not fully assured with infection control practices and policies. Records did not always contain the information needed to administer medicines safely. There were enough staff to support people safely. When people needed assistance, staff responded in a timely way. However, we received mixed feedback about staffing levels. There were systems to monitor accidents and incidents, but timely action was not always taken when risks to people increased.

Assessments were carried out prior to people moving to Haywood Lodge but changes to people's needs were not always implemented quickly. Staff received an induction and training relevant to their roles. People were provided with regular drinks throughout the day and their feedback gathered on meals. However, when people needed specialised diets, this had not always been implemented because communication systems needed to improve. The service worked with external healthcare professionals to monitor people's needs.

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 care, kindness and warmth, and encouraged to participate in care planning, and decisions about their care. Staff protected people's privacy and dignity and recognised people's desire to retain their independence as much as possible.

People and their next of kin or relatives were involved in planning their care, so this could be delivered in a person centred way. However, care plans were not always up to date. There was limited information in people’s care plans to demonstrate that end of life care had been planned for, in consultation with people’s relatives, in order to provide personalised care.

Staff knew people well and responded to them in a person-centred way. There was some signage around the home, for example to tell people where toilets and bedrooms were. Residents meetings encouraged people to participate and contribute to future plans for group activities and outings. People and their relatives told us they had no complaints and felt if they needed to discuss a concern, staff would be approachable.

At the time of the inspection there was no registered manager in post and accountability was not fully understood at all levels, to ensure governance processes were fully supported, and provided effective oversight and mitigation of risk.

Staff demonstrated knowledge and a caring approach to people they supported, and we received positive feedback from people and relatives about staff, the atmosphere at the home and management. The provider understood their responsibilities in relation to duty of candour. Families were kept informed if their loved one had an accident or injury, and if there were changes in their health.

Surveys were used to engage people in the development of the service , and the provider worked with external healthcare professionals to help benefit people who lived at Haywood Lodge.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

We registered this service on 12 May 2022 and this was the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Enforcement

We have found breaches in relation to safeguarding, 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 the full version of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.