17 March 2023
During an inspection looking at part of the service
Harmony House Nursing Home is a care home providing nursing and personal care for up to 33 people. The service provides support to adults living with mental health conditions. At the time of our inspection there were 26 people using the service.
People’s experience of using this service and what we found
This was a targeted inspection that considered the leadership and culture of the service, the management of people’s privacy and finances, people’s welfare and staff training.
People told us they were happy at the service. Infection prevention and control processes had improved, but further and sustained improvement was needed. Systems were in place to manage people’s money safely and safeguard them from abuse.
The provider was working on improving training. Some staff said induction support could be improved, and the provider said they would review this. People were supported to have diets they enjoyed.
People spoke positively about the leadership of the service. Some staff said they were not always supported to give open feedback to the registered manager.
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 25 January 2023) and there were breaches of regulation. 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 in infection prevention and control practice and the provider was no longer in breach of regulations in relation to that. The other breaches of regulation were not reviewed during this inspection.
Why we inspected
We undertook this targeted inspection to check on specific concerns we received about the leadership and culture of the service, the management of people’s privacy and finances, people’s welfare and staff training. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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 Harmony House Nursing Home on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation about the provider’s staff feedback systems.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.