About the service Hatton Grange is a residential care home providing personal care for up to 70 people across three separate floors. Each floor is separated into two units, one providing residential care and one providing support for people living with dementia. The service provides support to people over 65 years. At the time of our inspection there were 58 people using the service.
People’s experience of using this service and what we found
Peoples felt safe in the service. Staff were recruited safely and there were enough staff to meet the needs of people living in the service. Staff were aware of how to recognise and report concerns. The environment needed some repair and risk assessments were not always being updated. We made a recommendation about ensuring risk is regularly reviewed and relevant assessments updated. Medications were managed safely. Infection Prevention and Control measures were in place and being followed.
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.
Peoples were having their diet and nutritional needs met. The provider worked in partnership with other agencies to maintain people’s health and wellbeing. Staff received regular training and supervision.
Peoples were being treated with dignity and respect. People were supported to express their views on the service and their communication needs were being considered.
Peoples were supported to have person centred care. We have made a recommendation about recording the involvement of people and their relatives in care planning. Activities were being offered at the service, although people told us they wanted more variation which the provider was exploring. Processes and systems were in place to respond to complaints.
Staff were positive about the management and felt they were approachable and supportive. People and staff were involved in decisions about the service and their views were being sought through surveys and meetings. Governance polices, systems and processes were in place and were being used to maintain oversight of the service. Staff had a good knowledge of their roles and responsibilities and were able to manage the service when the registered manager was on annual leave.
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 the service under the previous provider was good (published November 2019).
At our last inspection we recommended that the provider monitors staffing levels to ensure there are enough staff to meet people’s needs. At this inspection we found the provider had made improvements and there was enough staff according to dependency tools and feedback we received.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 Hatton Grange 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.