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CQC report explained · a residential care home, run by Mentaur

Herons Lodge

138 Northampton Road, Market Harborough, LE16 9HF

Goodpublished 2 February 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm. Staffing, recruitment checks, risk management, medicines systems, fire safety and incident learning had improved.
Effective?
Good
Staff had completed training and competency checks, and people were supported with their health, eating and drinking, consent, and access to other professionals.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was carried forward, but the report does not state that rating here.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was carried forward, but the report does not state that rating here.
Well-led?
Requires improvement
Management systems, communication and oversight had improved, but inspectors needed more time to see that the changes were fully embedded and sustained.
The latest report, explained

What inspectors found, February 2024

Rated Good overall; inspectors found safer, kinder care, but the home was not yet consistently well-led.

This was an unannounced focused inspection on 10 January 2024. Inspectors observed care, spoke with managers and staff, contacted five relatives, and reviewed care records, medicines, staffing, training, audits and other records.

The home had improved since the previous inspection. Staffing levels, night cover, medicines checks, risk assessments, staff training, communication and support for people's choices had all improved. Inspectors rated Safe and Effective as Good.

Well-led was rated Requires Improvement. Inspectors found better management systems and oversight, but said the changes had not been in place long enough to show they were fully embedded and sustained. The overall rating rose from Requires Improvement to Good.

What inspectors praised
  • Improved staffing

    Staffing levels had increased, including at night. This improved safety and gave people more opportunities to take part in activities.

    The provider had increased the numbers of staff on duty. This included the availability of staff at night.from the report
  • Safe medicines support

    Staff responsible for medicines had extra training and competency checks. Monitoring systems were found to be effective.

    People's medicines were managed safely. Improvements had been made to staff training, and staff had completed competency assessments of their practice.from the report
  • Staff knew people well

    Inspectors found staff to be kind, caring and aware of people's individual needs. Relatives spoke positively about the staff.

    Staff were kind, caring and knew people well. Relatives were positive and spoke highly of the staff.from the report
  • Better support for choices

    Care plans had been updated to reflect people's routines and preferences. Staff were supported to respect people's choices and promote their independence.

    Support plans had been reviewed and updated to support staff of people's wishes and what was important to them.from the report
What inspectors were concerned about
  • Management changes not yet established

    needs fixing

    The home had improved its quality and safety systems, but inspectors said more time was needed to show that these improvements would continue consistently.

    However, given the short length of time since our last inspection, further time was required for the improvements to become fully embedded and sustained.from the report
Questions to ask them, based on this report
  1. 01How will you keep the improved quality and safety checks consistent over time?
  2. 02What staffing levels, including night staffing, will be in place for my relative's individual needs?
  3. 03How will you make sure my relative's routines, preferences and choices are recorded and followed?
  4. 04How are staff training, supervision and competency checks kept up to date?
  5. 05How will you involve my relative and our family in care reviews, activities and decisions?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 2 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Herons Lodge

4 rated inspections over 8 years: the service has held its Good rating throughout.

  1. February 2024Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Herons Lodge

  2. November 2023Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementWell-led: Inadequate

    We are reading this report · the original is on cqc.org.uk

  3. January 2019Goodstayed Good
    Safe: Requires improvementEffective: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 13 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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