Attention: The information on this website is currently out of date and should not be relied upon..

Care Services

carehome, nursing and medical services directory


Coghlan Lodges, Slough.

Coghlan Lodges in Slough is a Supported living specialising in the provision of services relating to caring for adults over 65 yrs, caring for adults under 65 yrs, mental health conditions, personal care and substance misuse problems. The last inspection date here was 12th February 2020

Coghlan Lodges is managed by Coghlan Lodges Limited.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Inadequate
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Inadequate
Overall: Inadequate

Further Details:

Important Dates:

    Last Inspection 2020-02-12
    Last Published 2018-12-18

Local Authority:

    Slough

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

4th October 2018 - During an inspection to make sure that the improvements required had been made pdf icon

We previously carried out an announced comprehensive inspection of this service on 22 August, 23 August, 24 August and 31 August 2017. Since that inspection, we received concerns in relation to several issues. This included information from local authorities, the police, people who used the service, members of the public and commissioners. As a result, we undertook a focused inspection to consider those concerns. This report only covers our findings in relation to these topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Coghlan Lodges on our website at www.cqc.org.uk.

Our inspection site visits took place on 4 October, 5 October and 26 October 2018. The first day of our inspection was unannounced and the remaining two days were announced.

Coghlan Lodges is a ‘supported living’ service. The service provides ‘personal care’ to people living in a number of ‘supported living’ settings, so that they can live as independently as possible. Not everyone using Coghlan Lodges receives the regulated activity. We only inspect the service being received by people provided with ‘personal care’, which includes the prompting and supervision of tasks related to personal hygiene, eating and others. Where people do receive ‘personal care’ we also take into account any wider social care provided. At the time of our inspection, four people received ‘personal care’.

The provider is required to have a registered manager as part of their conditions of registration. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection, there was a manager registered with us.

People were not safe from abuse. Systems in place did not always ensure that vulnerable adults were protected from foreseeable risks. Recruitment processes were inadequate and did not ensure that only fit and proper staff were employed by the service. An effective mechanism for determining safe staffing deployment was not in place. Staffing was based on people’s funded hours of care, and not their needs or dependency. Care risk assessments were completed, but were not always accurate and did not always contain sufficient information.

The governance of the service was unsatisfactory. Although a quality assurance tool was in place to log areas for improvement, issues were not always acted on promptly or sufficiently. When actions were marked off as complete, there were o further checks completed to ensure any changes put in place were suitable and sustained. The service did not always provide required information as required by the regulations. Record-keeping was inadequate, and the provider failed to comply with relevant legislative requirements for documentation.

The overall rating for this service is ‘inadequate’ and the service is therefore in ‘special measures’.

Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months.

The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe. If not enough improvement is made within this timeframe and a rating of ‘inadequate’ remains for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration if they do not improve.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service ha

22nd August 2017 - During a routine inspection pdf icon

We undertook an announced inspection of Coghlan Lodges Limited on 22, 23, 24 and 31 August 2017.

Coghlan Lodges Limited provides care and support to people living in 15 ‘supported living’ settings, so that they can live in their own homes as independently as possible. People’s care and housing are provided under separate contractual arrangements. The Care Quality Commission (CQC) does not regulate premises used for supported living. Not everyone using Coghlan Lodges Limited received a regulated activity; in this case, personal care. Personal care is where people are provided with help and tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of the inspection four people were in receipt of personal care and they lived in one of the 15 houses operated by Coghlan Lodges Limited. We visited the three houses where the four people lived who were in receipt of a regulated activity.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The last inspection was conducted on 2 and 3 November 2016. At that inspection, we found

a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We took civil enforcement against the provider. We issued the provider a warning notice as the provider had not ensured robust systems were in place to manage risks to people, quality systems had been compromised and we found poor record keeping. There were two further breaches of the Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as the provider was not following the requirements under the Mental Capacity Act 2005 (MCA) and medicines administration was not safely managed.

Following the inspection in November 2016, the provider submitted an action plan dated 7 January 2017 which set out the actions they planned to take to address the breaches. The current inspection provided an opportunity to assess whether the warning notice had been met and the action plan had been successfully completed. At this inspection we found the provider had effective systems in place to monitor and mitigate the risks relating the health, safety and welfare of people, people’s medicine was safely administered and they were following the principles of the MCA.

People and their families told us they felt safe with the staff from Coghlan Lodges Limited and had no concerns about their safety in their home.

We saw where the provider looked after people’s money on their behalf; systems were in place to manage people’s finances safely.

Staff understood their responsibilities in relation to safeguarding people. Staff received regular training to make sure they stayed up to date with recognising and reporting safety concerns. The service had systems in place to notify the authorities where concerns were identified. People received their medicine as prescribed.

People benefitted from caring relationships with the staff. Relatives said, “Definitely good relationships with staff” and “All (people) are very happy at this house”. People and their relatives were involved in their care and people’s independence was actively promoted. Relatives and staff told us people’s dignity was promoted.

Where risks to people had been identified, risk assessments were in place and action had been taken to manage these risks. Staff sought people’s consent and involved them in their care where possible.

People, relatives and staff told us there were sufficient staff to meet people’s needs. This was confirmed on the day of the inspection as we observed staff numbers were adequate to meet people’s needs. The service had sa

2nd November 2016 - During a routine inspection pdf icon

We undertook an announced inspection of Coghlan Lodges on 2 and 3 November 2016.

Coghlan Lodges provides personal care and support to people living in ten supported living schemes. At the last inspection on 5 August 2015, we asked the provider to take action to make improvements in their management of medication, increasing people’s independence, notifying the CQC of important events and to improve their quality auditing arrangements. There were two breaches of the Regulations of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014. At this inspection we found some improvements had been made but further actions were needed to ensure the provider met the regulations.

At the time of the inspection nine of the schemes were occupied and 47 people were in receipt of a service.

There had been no registered manager in post for a period of over 12 months. We were informed there had been a delay in obtaining the necessary information to enable the person to register with the Care Quality Commission (CQC). At the time of inspection an application had been submitted, however this was rejected due to supporting evidence being out of date. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s medication was not managed safely. There were a number of recording errors on people’s MAR charts, changes to specific medicines were not recorded and some staff had not followed guidance to keep people safe from risks when they missed their medicines. The provider was also failing to follow national pharmaceutical guidelines.

People’s medicines were stored safely and in most cases people received their medicines when required.

People and their families told us they felt people were safe. Staff understood their responsibilities in relation to safeguarding adults. Staff had received regular training to make sure they stayed up to date with recognising and reporting safety concerns. The service had systems in place to notify the appropriate authorities where concerns were identified.

People benefitted from caring relationships with the staff. We saw positive interactions where staff respected people’s privacy and promoted their dignity. Relatives told us they were involved in people’s care and people’s independence was actively promoted. However, people who used the service were not always involved in their care reviews.

There were sufficient staff to meet people’s needs. Staff rotas confirmed planned staffing levels were maintained. The service had robust recruitment procedures and conducted background checks to ensure staff were suitable for their role.

Staff understood the Mental Capacity Act 2005 (MCA) but the provider had not applied its principles in their work. The MCA protects the rights of people who may not be able to make particular decisions themselves. The operations manager was knowledgeable about the MCA and how to ensure the rights of people who lacked capacity were protected. However, MCA assessments were not in place for people. Where people lacked capacity to make decisions the registered manager was not acting within the principles of the Mental Capacity Act (2005).

People had enough to eat and drink. People could choose what to eat and drink and their preferences were respected. Where people had specific nutritional needs, staff were aware of, and ensured these needs were met.

Relatives and professionals told us they were confident they would be listened to and action would be taken if they raised a concern. The service had systems to assess the quality of the service provided. Learning needs were identified but actions were not always taken to make improvements to promote people’s safety and quality of life

1st January 1970 - During a routine inspection pdf icon

Coghlan Lodges provide personal care and support to people living in seven supported living schemes, principally in the Slough and Maidenhead area. The service was last inspected in May 2013, when it met all standards assessed. At the time of this inspection we were told there were 32 people being supported by the service.

There was no registered manager in place following the recent resignation of the previously registered manager. We were informed the application process for registration by the Care Quality Commission (CQC) for the newly appointed manager was underway. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social care Act 2008 and associated regulations about how the service is run.

We found there were contradictions between the registration of the service as supported living and the way it actually operated. We have provided the provider with guidance and suggested they review some of the documentation in use, for example, "House Rules".

Whilst people were safe and expressed positive views of the support they received, this was not consistently supported by effective record keeping of their medicines and finances.

People were supported by staff who were knowledgeable about their care needs and how they were to be effectively met. New staff were subject to an appropriate recruitment process and received support through training and supervision.

The service worked well with other health and social care services and professionals. We received very positive feedback on the service from health and social care professionals, people who used the service and their families, where these were involved with their care.

 

 

Latest Additions: