We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.
Hartland House provides accommodation and personal care for up to 32 older people, some of whom may suffer from dementia. It is owned and operated by the Abbeyfield Lakeland Extra Care Society Limited, an affiliate of the national Abbeyfield charity, through a volunteer board of trustees.
Hartland House is a modern detached two storey building on the outskirts of Milnethorpe. The home has a range of adaptations including a passenger lift to assist people to access the accommodation on the first floor.
There was a registered manager in post at the time of our inspection visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.
At the last inspection visit in December 2013 we found that this service met all the national standards we looked at. Since then there has been no incidents or concerns raised that needed investigation.
We spoke to people in their own rooms and those who were sitting in the communal areas. People told us they were happy with the care and support they received. Comments included, “I love it here and I decided myself to make it my home”.
People told us they felt safe living in Hartland House. We found staff were aware of their roles and responsibilities to keep people safe at all times. There were procedures to follow if staff had any concerns about the safety of people they supported.
The service worked well with external agencies such as social services and mental health professionals to provide appropriate care to meet people’s physical and emotional needs.
We saw that staffing levels were good throughout all areas of the service. Staff training was up to date. All staff were supported by the management team through regular staff supervision and appraisals. Procedures in relation to recruitment and retention of staff were robust and ensured only suitable people were employed to care for and support those using this service.
The provider had an effective system in place to monitor the care and support given to those who lived in Hartland house.
Focussed inspection 18 November 2014
During our visit we spoke to people who lived in Hartland House and they told us they always felt safe living in the home and there was always staff on hand to help them. They said, “I have always found there to be enough staff in the day and three on duty through the night is enough assistance if we want it”.
We asked people if they received their medicines at the time they should. They replied, “I have never had to wait for medicines or any cream. I know some people need their morning tablets early and I see the senior taking their tablets round before breakfast”. We spoke to the registered manager about the administration of medicines, including prescribed creams and were told it was extremely rare for medicines to be late arriving.
We asked the registered manager and the care managers about the concerns raised about ‘favouritism’ on the part of the registered manager. We also asked the staff who were on duty during our time in the home. The registered manager confirmed this accusation had never been made before and the support staff we spoke told us they had never seen any actions that would lead them to believe there were any favourites among the staff or people who lived in the home.
Our findings following this focussed inspection evidenced that the anonymous concerns were unfounded