Hoar Cross Nursing Home

Updated 22 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Inspection team:

The inspection was carried out by one inspector. There was also an Expert by Experience who spoke with people who used the service and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Hoar Cross Nursing Home 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 care home accommodates up to 51 in one adapted building. There were two floors where people’s bedrooms were based.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced. The inspection site visit activity started on 16 April and ended on 17 April 2019.

What we did:

We used the information we held about the service, including notifications, to plan our inspection. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people’s care to find out their views on the quality of the service.

We spoke with nine people who used the service, five relatives, three care staff, the two clinical leads, the registered manager and the area manager. We viewed four care files for people, some of which included daily notes and medicines records. We looked at documents relating the management of the service such as audits, meeting records and surveys. We also checked two staff recruitment files.

Updated 22 May 2019

About the service:

Hoar Cross Nursing Home is a residential and nursing home that was providing accommodation, nursing and personal care for up to 51 people. There were 40 people using the service at the time of the inspection. People had support needs such as a physical disability, those living with dementia or older people.

People’s experience of using this service:

Leadership was visible and included staff in developing the service to ensure it was person-centred. People and relatives all felt the staff team and management were approachable. Consideration had been given to supporting people with their protected characteristics. Quality assurance systems were embedded and effective at analysing information and identifying areas to improve care for people and ensure it was personalised. The service was innovative at helping people to remain independent and used technology to support this.

People were supported by a sufficient amount of safely-recruited staff. Risks were assessed and planned for and people were kept safe by staff who knew their needs and who understood their safeguarding responsibilities. Medicines were managed and administered safely. People were protected from the risk of cross infection and lessons were learned when things had gone wrong.

Staff received training and support to be effective in supporting people, with additional training available in specialist areas for those who chose to. People had access to a range of other health professionals to keep them healthy and plans were in place for people’s health needs. People enjoyed the food and had a range of choices. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were kind and caring and people felt they were treated with dignity and respect. Staff knew people well and had good relationships with people. People were supported to be independent and relatives could visit whenever they wished.

People had personalised care which catered for their preferences. A range of activities and events were available for people to partake in. There was a complaints procedure in place and any complaints received were investigated and responded to. People were supported to have a dignified end of life and the service worked with other health professionals to support people.

The registered manager and management team were well thought of by people, relatives and staff. The previous rating was being displayed and notifications were submitted as required.

Recommendations:

• We have recommended review of previous version of mental capacity assessments.

• We have recommended the consideration of developing personalised end of life plans for people.

Rating at last inspection:

At the last inspection the service was rated Good overall (report published 21 October 2016).

Why we inspected:

This was a routine inspection planned on the last inspection rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to

visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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