Critical report finds ‘significant shortfalls’ at Harrogate care home

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.

New plans submitted to create 12 flats in former Harrogate care home

A former care home in Harrogate that has been empty since 2016 could be converted to flats if new plans are approved.

The Pines, on Harlow Moor Drive, was closed after a Care Quality Commission inspection found it inadequate in all areas.

Now, plans have been submitted to Harrogate Borough Council to create 12 one-, two-, and three-bedroom apartments in the property at 56-57 Harlow Moor Drive.

The lower ground floor would contain five one-bedroom apartments, with a sixth on the upper ground floor, while the third floor would offer living accommodation as part of a penthouse with three bedrooms on the second floor.

The remaining five apartments on the upper ground, first and second floors would each have two bedrooms.

Documents submitted with the plans said:

“The Pines comprises of a pair of semi-detached houses which had been linked and converted into a privately-owned care home. The care house is no longer in operation – the property is redundant.

“The proposed works is the de-conversion of the care home into the original semi-detached dwellings (retaining and utilising the existing front doors) and then converting each original house (above lower ground floor level) into self-contained apartments, retaining as much as possible the existing building and limiting any structural works to new door openings, removal of isolated walls, walling up of isolated doors and windows with thermal and sound proofing upgrading works to the retained structure as required to meet current building regulations requirements.”

In the seven years since the care home was closed, three applications have been put forward to convert it to a house of multiple occupation (HMO) and to 12 flats.

All were turned down by the council before the applicant appealed unsuccessfully against each decision. An enforcement notice was also served by the council in 2017 to prevent the house being used as an HMO without permission and an appeal against that notice also failed.

The previous proposal to turn the building into 12 flats in 2020 was refused on the grounds it was not in line with the council’s policy of retaining buildings for community use, including care homes.

Justifying the decision at the time, the council said the owner had not made sufficient efforts to sell the building to someone who would retain it as a care home or other community facility.

It has since been marketed by FSS and Healthcare Property Consultants without a guide price, but with “offers invited”.

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The current plans have been put forward by Mr R Doyle of Flatcap Properties LLP, through agent Marcus Whitmore of nineteen47 Ltd. Supporting statements with the plans said:

“The application follows a number of refusals of planning permission and dismissals on appeal of previous proposals for changes of use of the property. Those refusals related to separate applications for change of use to a 24-person house in multiple occupation and 12 self-contained apartments.

“In these cases, the main issue for refusal related to the lack of marketing of the property for sale as a community use. In addition, the issue of the impact of a house in multiple occupation on the amenity of nearby residents through disturbance due to the intensity of the use was a reason for refusal.

“In relation to the 12-apartment scheme additional reasons for refusal were based on the unacceptable living conditions for future occupiers and likely disturbance to neighbours and a lack of appropriate contributions towards affordable housing or open space.

“This application is based on amended proposals for the conversion of the property to self-contained apartments and is supported by evidence of the marketing of the property for a community use for a period of 12 months in advance of its submission.

“This has been informed by pre-application discussions that were undertaken with Harrogate Borough Council and subsequent correspondence with the pre-application case officer to refine the terms of marketing.”

To view or comment on the plans, visit the planning pages of Harrogate Borough Council’s website and use reference 23/00620/FULMAJ.