We carried out a review of the data available to us about Hartismere Place on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Hartismere Place, you can give feedback on this service.
About the service
Hartismere Place is a residential care home providing personal care for up to 60 people aged 65 and over. At the time of the inspection there were 54 people living in the service.
People’s experience of using this service and what we found
People benefitted from a service that was particularly well-led. The registered manager had been in post for six months and in that time had developed all aspects of the service. They were supported by a very pro-active provider team. The provider, registered manager, deputy and staff team maintained a clear focus on continually seeking to improve the service people received. Everyone demonstrated strong values and, a desire to learn about and implement best practice throughout the service. Good quality assurance systems were in place based upon regular, scheduled audits, which identified any action required to make improvements. This meant the quality of service people received was monitored on a regular basis and, where shortfalls were identified they were acted upon.
The service was very responsive to people's health and social care needs. The service was very open to using people’s life experiences to improve their care and social well-being. Care plans were regularly
reviewed and adjusted to take account of any changes in people’s care and support needs and health status. The nursing staff ensured referrals were made to appropriate health and social care professionals as needed. We received particularly positive feedback about how the service supported people and their relatives when providing care at the end of people’s lives.
People were able to participate in a range of meaningful activities that were based upon their activity profile. The staff took time to find out about people's life history, their occupation and interests and hobbies. People and their families were encouraged to make their views known and become involved in all aspects of the service.
People received a safe service. Staff received safeguarding training and knew what to do if they suspected people were at risk of harm. Other risks to people's health and welfare were well managed. Risks were assessed, and plans put in place to keep people safe. The number of staff on duty for each shift were based upon the collective care and support needs of each person in residence. This ensured the staff team could safely provide care and support to each person. Pre-recruitment checks ensured staff were suitable to work with vulnerable people. Medicines were well managed, and people received their medicines as prescribed. People were protected by the home’s infection control policy and procedures.
People received an effective service which met their care and support needs. Staff training ensured they had the relevant skills to meet people's care and support needs. Staff were regularly supervised to ensure they worked well. People had access to the healthcare support they needed. We received positive feedback from healthcare professionals.
We received positive feedback about the quality and choice of meals. We observed meals were a social experience. A variety of snacks and drinks were freely available throughout the day.
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.
People received a service that was caring and centred around their specific needs and preferences. We observed people were relaxed and comfortable in their home. We received positive feedback from people relatives, staff and other professionals regarding the caring attitude of staff. The staff team had a good understanding of each person's individual needs. We observed people being treated in a warm and respectful manner by staff.
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 May 2019).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The service is divided into four units; Beech and Oak (on the ground floor) and Willow and Ash (on the first floor). When we inspected on 21 March 2017 there were 44 people using the service. This was an unannounced inspection
There was not 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 registered provider had ensured there was a covering manager in place whilst a new permanent registered manager was recruited.
People’s care plans reflected people’s individual care and support needs. Further work was needed to ensure people’s views and wishes in relation to their ‘end of life’ preferences were recorded. Information on people’s life history was not consistent across the service, but the management team were aware and were taking action to address this.
Procedures were in place which safeguarded the people who used the service from the potential risk of abuse. Staff understood the various types of abuse and knew who to report any concerns to.
Safe recruitment procedures were in place, and staff had undergone recruitment checks before they started work to ensure they were suitable for the role.
Risks to people using the service were assessed reviewed, recorded and managed appropriately. Detailed risk assessments were in place for people using the service.
There was adequate servicing and maintenance checks to equipment and systems in the home to ensure people's safety.
We saw friendly and caring interactions between staff and people. People received care that respected their privacy and dignity and promoted their independence.
The service was meeting the requirements of the Mental Capacity Act 2005 Deprivation of Liberty Safeguards (DoLS). Staff understood the need to obtain consent when providing care. 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.
Appropriate arrangements were in place to ensure people’s medicines were obtained, stored and administered safely. People were referred to other health care professionals to maintain their health and well-being.
An appropriate complaints procedure was in place. Complaints were responded to promptly. The covering manager and deputy manager were seen to be accessible to people.
There were processes to monitor the quality and safety of the service provided and to understand the experiences of people who lived at the service.