• Care Home
  • Care home

Haresbrook Park Care Home

Overall: Requires improvement read more about inspection ratings

Haresbrook Lane, Tenbury Wells, Worcestershire, WR15 8FD (01584) 811786

Provided and run by:
Haresbrook Park Limited

Important: The provider of this service changed - see old profile

Latest inspection summary

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Background to this inspection

Updated 14 January 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.

Inspection team

The inspection was carried out by two inspectors and a specialist advisor in nursing on the first day and one inspector on the second day.

Service and service type

Haresbrook Park Care Home 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. Haresbrook Park Care Home is a care home with 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. Inspection activity started on 03 November 2022 and ended on 01 December 2022. We visited the service on 14 and 16 November 2022.

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 who work with the service. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 3 people who lived at the home about their experience of the care provided and 3 relatives. We spent time seeing how people were cared for. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with 9 staff which included the registered manager, deputy manager, care manager, senior care staff member, care staff, head chef, maintenance, business development lead and the provider. We also spoke with a visiting health professional for feedback on their experience of care and working with the management and staff team.

We reviewed a range of records. This included 5 people's care records and multiple medicine records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including accident and incident records, policies and procedures and a sample of completed audits and checks were reviewed.

Overall inspection

Requires improvement

Updated 14 January 2023

About the service

Haresbrook Park Care Home is a residential care home providing personal and nursing care up to 57 people. At the time of the inspection no one was receiving nursing care. The service is registered to support younger adults, older adults, people living with dementia and mental health. The home is purpose built with all accommodation and facilities on ground floor level over two units. There were 37 people living at the home at the time of our inspection.

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

The providers systems and processes to monitor oversight had not always been effective in identifying some of the concerns we found during inspection, including, medicine management and environmental risks.

Medicine audits had not identified areas of concern we highlighted during our inspection. When we raised these concerns, action was taken immediately which included carrying out medication competency checks which ensured all staff assessments were now in date.

Some environmental risks required a more robust oversight to ensure people were not at risk from avoidable harm due to radiator covers being loose.

People were supported by staff that had been recruited safely and had received relevant training to enable them to carry out their roles effectively. Staff understood the different types of abuse and knew how to report and record any concerns.

Accidents and incidents were reviewed by the registered manager to identify any potential themes and trends to prevent the risk of incidents from happening again.

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.

People, relatives and staff views were gained through meetings and surveys to help drive through improvements.

Managers and staff were clear about their roles. Staff spoke positively about the management team and working at the home.

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 this service was good (published 16 November 2021).

Why we inspected

The inspection was prompted in part due to concerns which included the management of the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

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 changed from good to requires improvement based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Haresbrook Park Care Home 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.