This inspection took place on 18 and 19 December 2018 and was unannounced on the first day. Loxley Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home is registered to provide personal care and nursing care for up to 40 people, however the registered manager told us that the maximum number of people who would be accommodated was 36, and 33 people were living at the home when we visited. This was the first inspection of the home since a change of registration in October 2017.

The home is required to have a registered manager. 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. A new manager was registered in May 2018.

We found there were enough staff to meet people’s support needs. Staff were recruited safely. Training was provided to ensure staff had the knowledge and skills to work safely and effectively. Staff were supported in their role through individual supervisions.

People told us they felt safe in the home and that they had no concerns regarding their care. They told us the staff were kind and caring and protected their dignity and privacy. The premises were clean and adequately maintained and a programme of refurbishment was underway. People’s medicines were managed safely.

Applications to deprive people of their liberty had been made appropriately. Records showed that consent was sought in line with the principles of the Mental Capacity Act 2005.

People were satisfied with their meals and with the choice of food available.

A range of social activities was provided to keep people stimulated and occupied.

Both the home manager and the area manager completed regular quality monitoring audits which identified any areas needing improvement. The management team had ideas and plans to further develop the service.