Archived: Hatherley Grange Nursing Home

Updated 26 October 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook an unannounced focused inspection of Hatherley Grange Nursing Unit on 30 September 2015.

This inspection was undertaken to check that improvements to meet legal requirements planned by the provider after our last focus inspection on 29 June 2015. We inspected the service against one of the five questions we ask about services: Is the service effective? This is because the service was not meeting some legal requirements.

Our inspection team consisted of one inspector. We spoke with two members of staff, the acting manager, the administrator and a representative of the provider. We also spoke with two health care professionals who were visiting the home. We reviewed five records relating to people’s consent to their care and support and documents relating to staff training. People were unable to talk to us due to their complex needs and communication difficulties; however we observed staff interacting with people.

Updated 26 October 2015

We carried out an unannounced comprehensive inspection of this service on 20 October 2014. Breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements to gain consent of people in relation to their care and support and ensuring staff were trained to carry out regulated activities.

On 29 June 2015, we undertook a focused inspection to check that they had followed their plan. We found some improvements had been made however not all staff had been trained and there was insufficient evidence that people’s consent to their care had been gained lawfully. We told the provider that these shortfalls should be addressed by 31st August 2015.

On 30 September 2015, we carried out this focused inspection to check that the provider now met the legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hatherley Grange Nursing Home on our website at www.cqc.org.uk.

At this inspection we found that improvements had been made in staff development and gaining people’s consent to their care and treatment lawfully.

Most staff had received update training in mandatory courses such as mental capacity act and moving and handling. Systems were in place to plan further training and support staff development.

People in the home lived with advanced dementia. Their mental capacity to make decisions about their care and support had been lawfully obtained. Staff understood their responsibility to work with in the code of practices of the Mental Capacity Act and ensure people were cared for in the least restrictive way. Best interest decisions had been made on behalf of people when specific decisions about their care and support had to be made.

The home had been without a registered manager for several months however at the time of our inspection the acting manager had been working with the provider to address the shortfalls of the service.