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May 2023

Last Updated: 16/05/2023

Health

Critical report finds 'significant shortfalls' at Harrogate care home

by Vicky Carr

| 17 May, 2023

A care home in Harrogate has been found to have "widespread and significant shortfalls in leadership" in a highly critical inspection report.

Avon Lodge on Harlow Moor Drive was rated 'requires improvement' by the Care Quality Commission, while its leadership was found to be 'inadequate' in a report published this week.

In the report, which followed an unannounced two-day inspection in February, inspectors downgraded Avon Lodge from its previous 'good' rating and said:

"The inspection was prompted in part due to concerns received about the quality of care being provided to people. A decision was made for us to inspect and examine those risks... We have found evidence that the provider needs to make improvements...

"The provider acknowledged the shortfalls found during this inspection. They took some action following the first day of inspection to begin to address some of the shortfalls found regarding the environment and fire safety.

"The overall rating for the service has changed from 'good' to 'requires improvement' based on the findings of this inspection."

The inspection assessed three key areas, asking if the service was safe, effective, and well-led. The latter was rated 'inadequate;, while the other two were 'good'.

The areas of 'caring' and 'responsive' were not assessed during the inspection and are still rated 'good', having last been assessed in 2019.

In their latest visit, inspectors found there were multiple breaches of regulations relating to administering medicine, reporting concerns about safeguarding, and carrying out risk assessments. They concluded:

"Some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed."

Personal care needs

Avon Lodge cares for adults with personal care needs, including some with mental health issues, learning disabilities and autism. It has space for up to 12 people and 11 were resident when the inspection took place.

At that time, the home was being run by a temporary manager, after its registered manager had left the post. A permanent replacement was being recruited, the report said.

Looking at the leadership of the care home, the inspectors said:

"There were widespread and significant shortfalls in service leadership. Leaders and the culture they created did not assure the delivery of high-quality care."

They added:

"There had been no recent engagement with people or their relatives to gather their views on the service. All the relatives we spoke with told us they had not received a questionnaire or been asked for their views. One relative told us, 'Not for a long while, we got invited to a meeting once that was cancelled.'

"Professional visits to the home or people's visit to healthcare professionals were not recorded effectively therefore there was no oversight of this contact."

Inspectors also looked at the way the Mental Capacity Act was used. It is designed to ensure people are allowed to make their own decisions where possible, and when they are not able to do so that the decisions made are in their best interests.

They found there was inadequate record-keeping relating to its use and decisions made for people who were unable to consent.

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Inspectors also found the environment of the care home was not always supportive of its residents.

They reported it was often loud and led to them being woken up, while some communal areas were out of use, and some soft furnishings to make it more homely, such as curtains, were missing.

There was poor record-keeping relating to residents' allergies and family members said the meals provided at the home were not varied enough.

Inspectors made several recommendations in the report of ways in which Avon Lodge should be improved. They also said:

"The provider agreed with the shortfalls found during inspection and took some immediate action.

"The provider took on board the inspection feedback and discussed plans of how they would communicate with people and relatives about the inspection findings and action they were going to take as a result."

The Stray Ferret contacted Avon Lodge and its owner, Care Network Solutions Ltd, to ask for a response to the report. However, we had not received a reply by the time of publication.

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Critical report finds 'significant shortfalls' at Harrogate care home

Personal care needs

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