Background to this inspection
Updated
26 February 2022
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. We received information of concern about staffing at this service. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing, and whether this was having an impact on the service.
This inspection took place on 28 January 2022 and was announced. We gave the service four hours notice of the inspection.
Updated
26 February 2022
About the service
Hartshead Manor is a care home providing personal and nursing care to 46 people aged 65 and over at the time of the inspection. The service can support up to 55 people.
There is accommodation and communal areas located on both the ground and first floor. The home provides care and support to people who are assessed as having nursing and personal care needs in Garden View. There is also a unit, Willows, with 20 beds which provides personal care for people living with dementia.
People’s experience of using this service and what we found
People were safe. Risk assessments were detailed and reflective of current care needs. The premises and equipment were safe and clean. Medicines were managed and administered safely. There were enough staff to meet people’s needs and the recruitment of new staff was thorough.
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. Staff received induction, training and supervision. there were effective channels of communication for the staff team. People had access to other health care professionals as needed.
Staff were kind, caring and professional. People were treated with dignity and respect. Staff encouraged people to retain their independence. Confidentiality was respected.
Care records were detailed, person centred and regularly reviewed and updated. There were some inconsistencies in the information, this was discussed with the registered manager at the time of the inspection. The home employed an activities co-ordinator who arranged and facilitated a variety of activities for people. There was a system in place to manage complaints in the event people were dissatisfied with the service.
Staff were positive about the improvements at the home and the leadership of the registered manager. The registered manager understood their role and responsibility in ensuring people received high quality care. There were regular meetings with staff, relatives and people who lived at the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 12 April 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.