- Care home
Horton Cross Nursing Home
Report from 31 January 2024 assessment
Contents
Ratings
Our view of the service
An assessment has been undertaken of Horton Cross Nursing Home, a care home which provides accommodation and nursing care to people. At the time of the first site visit there were 33 people living at the home. This assessment was carried out to check if the service had made improvements following the breaches identified, and warning notice issued, at the last inspection in November 2023. At that inspection we identified four breaches of the of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and undertook enforcement action. These were, Regulation 17- Good Governance, Regulation 9 – Person-centred care, Regulation 12 – Safe care and treatment and Regulation 18 – Staffing. At this assessment we found improvements had been made and the provider was no longer in breach of these regulations. We carried out our on-site assessment on 28 February and 8 April 2024, off site assessment activity started on 1 March 2024 and ended on 22 April 2024. We looked at 11 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines Optimisation; Learning Culture; Safe systems, pathways and transitions; Safe Environments; Infection prevention and control; Assessing needs; Capable, compassionate and inclusive leaders and Governance, management and sustainability. At the time of our assessment there was not a registered manager at the service, the Deputy Manager was in the position of Acting Manager. At the site visits, we spoke with 17 people, 9 visitors and 14 staff. We looked at 5 care plans. The provider was available throughout the inspection.
People's experience of this service
People lived in a home where the management and staff team were committed to making improvements to the quality of care and support people received. People were supported by enough staff to meet their physical and social needs. People received their care safely from staff who had the skills needed to effectively support them. Where people required specialist equipment to minimise risks, such a pressure relieving mattresses, these were in place. There were systems to show this equipment was regularly checked. People had their needs assessed and mostly received care in accordance with their identified needs. However, we saw that some people did not have the personalised equipment or support to promote independence with drinking. Some care plans did not show action which had been taken when concerns were identified, for example poor fluid intake. This potentially place people at risk of poor care.