Hatfield House

Updated 20 August 2022

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 two inspectors and an Expert by Experience. 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

Hatfield House is a ‘care home.’ 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. Hatfield House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service 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. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before 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

We spoke with twelve people who used the service about their experience of the care provided. We spoke with nine members of staff including the registered manager, care workers and ancillary staff.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 20 August 2022

About the service

Hatfield House is a residential care home providing personal care for up to 49 people. At the time of our inspection there were 47 people using the service.

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

People were protected from the risk of abuse. Staff received training in this area and knew what actions to take if they suspected abuse. People received their medicines as prescribed. Accidents and incidents were analysed for any trends and patterns. The provider used this analysis to mitigate future incidents.

Staff were safely recruited and completed an induction process. Through our observations and talking with staff, people and relatives, we found there were enough staff available to meet people's needs. Staff felt that although it could be busy, they never felt they were unable to meet people's needs.

Risks associated with people's care were identified and risk assessments in place to ensure risks were managed safely.

Infection control was managed throughout the home. During our inspection we noted some shelve edging needed repair and a microwave had started to rust and a peddle bin was broken. All these issues were immediately resolved by the registered manager.

People's needs were assessed, and care was delivered in line with them. Care plans and risk assessments were kept under review and continuous assessment to ensure people received support in line with their current needs.

Staff received training and felt supported by the management team. Care plans showed people had been referred to other professionals as required.

People were supported to eat and drink enough and were given a choice. Hydration stations were available throughout the home and people could them access 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. Best interest decisions were documented well in care plans.

Social stimulation was available, and we saw various activities taking place throughout the day.

The provider had a clear auditing system in place which identified and issues to be addressed. Action plans were drawn up to ensure things were dealt with in a timely way. The provider had a complaints procedure and people felt able to raise concerns and felt listened to.

The provider sought feedback from people and used this to develop the service. One example was that people had requested a library and this was in the process of being developed.

The registered manager worked well with other professionals and took appropriate actions when required.

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

Rating at last inspection

This service was registered with us on 6 May 2021 and this is the first inspection.

The last rating for the service under the previous provider at the previous premises was good published on 16 October 2018.

Why we inspected

We inspected the service to provide a rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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

Follow up

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