Haddon Court Limited

Updated 15 February 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

Haddon Court is a ‘care home’ without nursing care. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. There was a manager in post who had not yet applied to register with CQC.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During our visit to the home, we spoke with 2 people who used the service and 2 people’s relatives. We also spoke with 8 staff, including the manager, care staff and senior management. Following the inspection visit, we spoke with 3 people’s relatives and 2 professionals to gain their feedback about the service.

We looked around each area of the home to make sure It was safe, homely and suitable. We spent time observing the care and support people received. This helped us to understand the experience of people who could not or chose not to speak with us.

We reviewed 8 people’s care documentation and multiple medicines administration records, along with associated medicines documentation.

We reviewed a range of records related to the management of the service, including safety certificates and quality assurance systems.

Updated 15 February 2024

About the service

Haddon Court provides accommodation and personal care for 33 older people who may be living with a dementia. At the time of our inspection, the service was supporting 27 people. The home is situated close to the promenade and transport routes. Accommodation is provided on three levels and all bedrooms provide single occupancy.

People’s experience of using this service and what we found

The management team were in the process of further developing strategies and information to better guide staff to manage and maintain each person's safety.

We have made a recommendation about the assessment and monitoring of risks to people receiving care.

People felt safe and the provider had systems to protect them against the risk of abuse. There were enough staff deployed to meet people’s needs and staff continued to be recruited safely.

The new manager and provider are further developing a programme of continuous learning to better monitor the environment and care delivery. They are also looking to increase opportunities to gain feedback from people and their relatives.

We have made a recommendation about the auditing systems and engagement with people and their relatives.

The provider and manager had fostered a culture that was person-centred. A staff member told us, “It’s a lovely home. We are all like family.” We received positive feedback about the manager and how they were receptive to feedback. The service worked with outside agencies to maintain and enhance people’s health and wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 30 April October 2019).

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of choking. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.

We carried out a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Haddon Court Limited on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation about the assessment and monitoring of risks to people receiving care.

We have made a recommendation about the auditing systems and engagement with people and their relatives.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.