Archived: Hanbury Court Care Home

Updated 28 August 2020

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.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 07 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 28 August 2020

This unannounced inspection took place on 25 and 26 July 2018. At the last inspection in January 2017, the service was rated as Requires Improvement. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the service. We did receive a comprehensive action plan within the time allocated to them.

At the last inspection we found the provider had breached regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 on person centred care as they did not ensure people using the service received person-centred care and treatment that was appropriate, met their needs and reflected their personal preferences. We also found a breach to regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 on good governance as systems or processes were not established and operated effectively to ensure compliance with the requirements as the provider did not ensure that their audit and governance systems were effective. During this visit, we found the actions had been completed and breaches to the HSCA met.

Hanbury Court Care Home is a care home that provides care, including personal care for up to 34 adults. This includes nursing care for older people who may be living with dementia. 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 service had a registered manager. 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.

People and their relatives told us they felt safe using the service. Medicines were administered and managed safely. Risk assessments and risk management plans were in place to support people receive safe care and treatment. Staff knew how to recognise abuse and how to report safeguarding concerns. There were sufficient staff working at the service and recruitment checks completed with all new staff suitable and thorough. There were systems in place to maintain the safety of equipment used by the service and the safety of the property.

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. Deprivation of Liberty Safeguards had been applied for and authorised appropriately. People had access to healthcare professionals as required to meet their needs. People were offered varied menu choices of nutritious food and drink. Staff knew people they were supporting and their preferences. Staff received regular supervisions and appraisals.

We observed staff supporting people in a caring and respectful manner. People and their relatives told us the service and its staff were caring. People's privacy and dignity was respected and their independence encouraged. People and their relatives knew how to make a complaint. Meetings took place for people and their relatives so that they had input into the care they received. Staff meetings were held regularly so that they too could have input into the care provided. People, their relatives and the staff team all told us they found the management team to be professional and supportive. The provider completed audits to ensure systems worked and remained effective. The registered manager had oversight of the service through the systems in place and their strategy of continual improvement.