Harefield Lodge

“We found 2 breaches of regulations in relation to safe care and treatment and governance.”

“We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence, and good access to local communities which most people take for granted. We found people did not always receive care and support in accordance with the principles of this guidance.”

“There was missing information in some care plans, which put those people’s health and welfare at risk. Lack of future care planning was not in place. We found some concerns relating to cleanliness and fire safety, and recruitment was not always managed safely. Mental Capacity Assessments had not always been completed correctly and were not always in place. The provider’s internal monitoring systems failed to identify all of the concerns we found during this inspection and robust action had therefore not been taken to make improvements. The registered manager and provider were motivated to improve the service and started addressing these shortfalls during the inspection.”

“Staff were trained to raise and respond to safeguarding concerns both internally and to external agencies. The provider learned from incidents and action was taken to ensure improvements were made where needed.”

“There was a system in place for responding to concerns or complaints. A management team led the service which included a registered manager. Staff were able to raise concerns and told us managers were approachable and supportive.”