Hallaton Manor Limited

Updated 25 August 2023

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

This inspection was carried out by 2 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

Hallaton Manor Limtied 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. Hallaton Manor Limited 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

This inspection was unannounced.

What we did before the 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 4 people to understand their experience of the service and observed interactions between people and staff in communal areas. We met with 2 people's relatives and telephoned a further 8 relatives as part of this inspection. We also spoke with 8 staff including the registered manager, the nominated individual, an activity co-ordinator and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed 4 people's care plans and care records and sampled medicine records. We reviewed staffing training information and 3 staff recruitment files. We also reviewed a range of other records relating to the day to day management of the service, including policies and procedures.

Updated 25 August 2023

About the service

Hallaton Manor Limited is a residential care home providing personal care for up to 41 people. The service provides support to a range of people some of whom may be living with dementia, people with mental health needs, people with a physical disability, people who misuse drugs and alcohol and younger adults. At the time of our inspection there were 38 people using the service. Accommodation is provided in one adapted building across 2 floors and has a mixture of smaller and larger communal areas and extensive gardens and grounds for people to use.

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

Risks associated with people's care and support had been assessed. Records required further detail to ensure sufficient guidance was available to support staff to mitigate known risks. Daily monitoring records were not always completed consistently to demonstrate identified measures were followed to protect people from the risk of dehydration.

The registered manager and provider were responsive to feedback during and after the inspection and demonstrated some immediate improvements were undertaken. These included improvements to care plans and environmental concerns.

There were effective safeguarding systems in place and safeguarding concerns were managed promptly. Staff understood their responsibilities in relation to safeguarding and felt comfortable to raise concerns. People received their medicines safely and as prescribed.

The provider had improved the approach to infection prevention and control, undertaking refurbishment work and reviewing practices. There were sufficient staff to keep people safe; staff had been safely recruited and trained to provide consistency in care. People felt safe and relatives provided positive feedback.

People were supported to have maximum choice and control of their lives and to live in the least restrictive way possible and in their best interests; policies and systems in the service supported this practice.

The provider worked collaboratively across services to understand and meet people's needs, and people experienced positive outcomes regarding their health and well-being. The service had a positive culture that was person-centred and empowering. People, their relatives and staff spoke positively about the registered manager and felt involved with the service.

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 30 June 2021) and we found a breach of regulations. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had made improvements and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, effective and well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed to good. This is based on the findings at this inspection

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hallaton Manor Limited 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.