Archived: Hatton Grange

Updated 5 November 2019

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 Care Act 2014.

Inspection team

The inspection team consisted on an inspector, an assistant inspector 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

Hatton Grange 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 service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

The first day of this inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We reviewed the information we held about the service including notifications the provider had sent to us. We contacted local commissioning teams to obtain their views about the service. We contacted Healthwatch for any feedback they had received. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. All this information was used to help support our inspection.

During the inspection

We looked at six people's care records which included a wide range of support plans and risk assessments. We reviewed a variety of documents relating to how the service was managed including; four staff personnel files, staff training records, policies, procedures and quality assurance audits.

We spoke with seven people who used the service and five relatives about their experience of the care provided. We spoke with two visiting professionals. We spoke with ten members of staff including the registered manager, deputy manager, district manager, care workers, laundry and kitchen staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 5 November 2019

About the service

Hatton Grange is a residential care home providing personal care to 69 people aged 65 and over at the time of the inspection. Care is provided over six separate units across three separate floors. Three units provided residential care and three specialised in providing care to people living with dementia. The service can support up to 70 people.

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

We observed there were sufficient staff to meet people’s care and support needs and staff knew people’s needs well. However, people and relatives did not always feel there was enough staff. The registered manager acknowledged that recruitment was an ongoing challenge and appropriate action was being taken to recruit staff. The risks to people were assessed and minimised and people were protected from the risk of abuse. People were supported to take their medicines as required and there were systems to ensure concerns were quickly identified and addressed. There were suitable systems for ensuring the home was clean and equipment was safe for use.

Staff worked very closely with other healthcare professionals to ensure that people had the right type of support. 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. There were mental capacity assessments in place and the right people were involved in best interested decisions for individuals who lacked capacity. The policies and systems in the home supported this practice.

People were positive about staff and told us they were kind and caring. Staff supported people to maintain their independence and encouraged people to remain mobile. Staff had a good understanding of people’s care needs, preferences and how to meet these. Staff spoke affectionately about the people they were supporting.

Care plans were detailed and provided guidance for staff to support people with their care and support needs. These records were maintained and updated as required. People felt able to raise any concerns and make complaints and these were addressed by the registered manager. Staff provided a range of activities and we observed that people engaged well with these activities.

People and their families were happy and felt the home was being well run. The registered manager completed a range of regular checks on the quality and safety of the service and was committed to driving improvement within the home. There were close working relationships with other organisations and opportunities for people, families, staff and other agencies to contribute to improving the quality of service.

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 requires improvement (published 20 October 2018).

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.