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.

Chocolate project seeks new business links to build on students’ growth

Chocolate may be associated with Easter for many people, but for one Harrogate social enterprise it’s a year-round obsession. 

Harrogate Chocolate Factory has been making its own chocolate “from bean to bar” for the last three years. 

With new equipment being brought in, it will significantly increase its manufacturing capacity over the coming weeks. More bars will soon be available from its website and from local stockists including Crimple and Artizan.

CEO Hadyn Moorby-Davies said the way the project has developed has been rewarding: 

“You have got to have some optimism to start projects like this, but it’s really satisfying seeing it now.” 

After a delay thanks to covid, last summer Harrogate Chocolate Factory Cafe opened next to the Odeon cinema on East Parade. The last year has proven to be a successful one and now Harrogate Skills 4 Living Centre (HS4LC), the organisation behind the project, is looking to build on its growth by engaging with the business community.

The chocolate factory and café are staffed by people with learning difficulties. They were set up to provide a stepping stone to employment, providing real-world experience in a familiar and supported environment. 

From there, students go on to placements with local companies, ranging from small businesses to large corporations. Among the list of places to have taken students so far are Labcorp, Rudding Park, the Army Foundation College and Ilk Homes at Flaxby. 

Students and staff at Harrogate Chocolate Factory Cafe

Angie Russell, who runs several local businesses including Skye Blue Cleaners and Harrogate changeovers, has also taken on two students from HS4L. She said: 

“We advertised for somebody to work in the laundry. Paul [from HS4L] said he had someone who might be interested.  

“My initial reaction was ‘no, we can’t’. My perception was there would be to many problems with stairs and so on. He said, ‘can we come and have a chat?’.” 

With some of her fears allayed, Angie took on a student for a couple of hours a week doing administrative tasks such as sending out letters. Now, she is working in the laundry, and Angie has taken on another student to join her housekeeping team. 

The result has been a complete turnaround in Angie’s attitude to the programme, so much so that she’s now working with HS4LC to increase its engagement with the business community and provide more opportunities for students – and for businesses themselves. 

“Having someone who comes in who doesn’t care if you have a Gucci handbag or who said what about who – it changes the atmosphere. 

“The employers we work with have a genuine interest in the students. People get to realise there are far more benefits to employing that diverse workforce: it can just brighten up a room.” 

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The training the students are receiving at the Harrogate Chocolate Factory and Café could be perfect for Harrogate hospitality businesses, which have reported significant problems recruiting since the covid pandemic began. 

While many business owners are nervous about the practicalities of taking on an employee with learning difficulties, often, they are more risk-averse than is necessary.  

Students are given a job coach who comes to work with them to begin with. That direct support remains in place for as long as is needed, whether it is a few months or throughout their employment.  

However, in many cases, once they get to know the role, the students are confident to be left alone with their coach checking on them and their employer from time to time. 

The chocolate factory itself has proven that students can adapt to, or even enjoy, some of the most mundane tasks. 

Hadyn added: 

“It’s really that routine with steps that is great for people with autism. We’ve got quite a few students who really love that routine.  

“Often, the boring jobs that nobody wants to do, they like it because they can focus on it. That was quite satisfying to realise that initial idea worked.” 

Now, as part of their plans for expansion, staff at HS4LC have launched Engage 22. The project is designed to put the interests and aspirations of students at the heart of the services on offer, from the training they receive to the social activities they can attend. 

The charity’s home on North Park Road has been offering classes for many years, but the calendar of events is still expanding. Gym memberships, swimming sessions and cinema trips are all adding to the variety of art, craft, music, dance and drama lessons. 

Angie said: 

“They really aspire to working. They can see their friends and peers doing similar stuff and living independently.” 

Hadyn added: 

“Our purpose is to overcome inequality and help people do what they want to with their lives.” 

50 years of Henshaws College in Harrogate but much work still to do

As Henshaws celebrates the progress it has made for those with learning difficulties and disabilities in the past 50 years, the current principal believes there is much work still to do.

The Duchess of Kent , pictured, opened the college in 1971 when it was smaller and only for people with visual impairments. The college and attitudes have changed significantly since that day.

Today the charity welcomes a more diverse range of people, including those aged 16 to 25 with a range of sensory impairments, autism, physical disabilities, learning difficulties and specialist healthcare needs.

Coronavirus forced more muted anniversary celebrations, with students learning how to sign happy birthday in Makaton and creating art to express their feelings about the milestone.

Adrian Sugden, the current principal, is proud of the legacy and has big plans for the future. He told the Stray Ferret:

“I think Harrogate has a strong connection with Henshaws. Just in the three years I have been here I have seen that connection only grow stronger. We get much more support.

“It is lovely taking the students into Harrogate. They all wear their lanyards to say where they are from and they get lots of recognition.

“Lots of the local businesses are much more supportive as well. Not as many as I would like, I want to get more companies accepting students for work experience.

“I have seen people’s awareness of disabilities improving. They are starting to see our students as people who can contribute positively even though they have complex needs.”

Jono Lancaster (right) and Principal Adrian Sugden (left) presented graduating students with their certificates.

The last couple of years with coronavirus has been difficult for Henshaws. While the college remained open throughout thanks to the commitment of staff, the charity has struggled.

Last year the Stray Ferret reported how Henshaws made the decision to close its supported living supported living services and residential services, which were taken by North Yorkshire County Council and Homes Together.

Mr Sugden pointed to a problem with the way the college is funded. As it is classed as independent it cannot access government or council funding so when it needs money the only way is through fundraising or increasing fees.

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One of the things Mr Sugden has enjoyed seeing is the increasing number of opportunities for students in Harrogate.

Not only is there Hopkins for those with learning difficulties and disabilities. Harrogate Skills 4 Living Centre opened its Harrogate Chocolate Factory cafe earlier this year and Artizen is also planning to open a cafe. He added:

“It’s really positive to see that progress but sadly we are following America’s lead on this. I am doing a really interesting piece of work with Harrogate College on this at the moment.

“I am also a believer in job carving, where our students could do one type of job which they enjoy at many different businesses. That way our students could make an incredible contribution.

“When you look at the national statistics of people with disabilities going into employment, it’s frighteningly low. If we could improve that in Harrogate the town could become a leading example.