• Care Home
  • Care home

Hames Hall Residential Care Home

Overall: Good read more about inspection ratings

Gote Road, Cockermouth, Cumbria, CA13 0NN (01900) 827601

Provided and run by:
Cumbria Nursing Services Limited

Important: The provider of this service changed. See new profile

Latest inspection summary

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Background to this inspection

Updated 19 May 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

The inspection was carried out by 1 inspector and 1 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

Hames Hall Residential Care Home is a ‘care home’ without nursing. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. 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 CQC 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 on day 1 and announced on day 2.

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

The inspection was carried out by conducting a site visit and speaking to staff remotely. We spoke with 9 people who used the service and 4 relatives about their experiences of the care provided. We spoke with 12 staff including the nominated individual, operations director, estates manager, registered manager, deputy manager, senior care staff, care staff, maintenance worker, housekeeper and kitchen staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 5 people’s care records. We looked at multiple medicines records. We reviewed 3 staff recruitment records. A range of records relating to the management of the service, including staff training records, accident and incident records, quality assurance checks, health and safety records and a sample of the provider’s policies and procedures were also reviewed. We received feedback from 1 social care professional who worked alongside the service.

Overall inspection

Good

Updated 19 May 2023

About the service

Hames Hall Residential Care Home is a care home providing personal care for up to 25 older people. At the time of our inspection there were 23 people living at the service.

Hames Hall Residential Care Home accommodated people in one adapted building.

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

Whilst people felt safe living at the service and confident in the knowledge that staff were available should they need them, the provider’s approach put people’s health and safety at risk at times. The provider had not always acted on recommendations made by health and safety experts in a responsive way to keep people safe. We have made a recommendation about this.

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. We made a recommendation about capacity and consent records at the last inspection, which remains ongoing.

People were supported by staff who were familiar with their needs and how to support them. However, details of risks to people were not always robustly recorded. The registered manager made some changes to people’s care records following the inspection. The provider had plans to review and update care records to support improvements across the service.

People and their relatives praised the leadership of the service by the registered manager. There were opportunities for people, relatives and staff to provide feedback on the running of the service to support improvements. The provider’s quality assurance systems were being developed to help improve high quality care for people. We have made a recommendation about this.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (published 18 November 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of Safe and well-led only.

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.

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 remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hames Hall Residential Care Home on our website at www.cqc.org.uk.

Recommendations

At our last inspection we recommended that the provider reviewed how it recorded people’s capacity and ability to give consent. At this inspection we found further work was needed to capacity assessment records. We have made recommendations about health and safety and quality assurance systems.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.