Loxley Hall

Updated 6 July 2023

The inspection

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

This inspection was carried out by 1 Inspector.

Service and service type

Loxley Hall is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Loxley Hall is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people who used the service about their experience of the care provided as well as 4 relatives. We spoke with 12 members of staff including the registered manager, clinical lead, administrator, registered nurses, care workers and ancillary/maintenance staff. We reviewed a range of records. This included 6 people’s care records, risk assessments and medication records. We looked at 4 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We looked at various documents and continued to seek clarification from the provider to validate evidence.

Updated 6 July 2023

About the service

Loxley Hall is a residential care home providing nursing and personal care for up to 40 people. The service provides support to older people with nursing needs. At the time of our inspection there were 36 people using the service in a purpose-built building.

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

People received safe care. Medication systems had been improved and were now safely managed. The oversight of risks faced by people from their health conditions and the environment had been reviewed and were up to date.

People told us they felt safe, and the staff team were very kind to them. This was echoed by relative comments we received. People felt that staff knew their individual preferences and that they were enabled to be as independent as possible.

Staff levels met the needs of people and staff worked to ensure that the needs of people were paramount. The building was clean and hygienic, and this was confirmed through what people told us as well as our observations.

Robust auditing was now in place with a variety of audits being carried out to monitor the quality of care provided at Loxley Hall. People told us they knew who the registered manager was and saw them as approachable and providing a well led service. Relatives commented that the management team were very open and transparent with them and communicated important information to them when necessary. Relatives considered the service to be caring and managed well.

The provider/manager asked all people living in the home, their relatives and staff to comment on the care provided. Staff considered the registered manager to be approachable and had taken time to recognise the efforts of the staff team. An ethos of teamwork had been created within the service and staff commented positively on all aspects of their day to day experiences.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 1 June 2022) breaches in safe care and governance of the service were identified. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Loxley Hall on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.