We carried out a review of the data available to us about Hatfield House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Hatfield House, you can give feedback on this service.
Hatfield House is a residential care home providing personal care for up to 49 people. At the time of our inspection there were 47 people using the service.
People’s experience of using this service and what we found
People were protected from the risk of abuse. Staff received training in this area and knew what actions to take if they suspected abuse. People received their medicines as prescribed. Accidents and incidents were analysed for any trends and patterns. The provider used this analysis to mitigate future incidents.
Staff were safely recruited and completed an induction process. Through our observations and talking with staff, people and relatives, we found there were enough staff available to meet people's needs. Staff felt that although it could be busy, they never felt they were unable to meet people's needs.
Risks associated with people's care were identified and risk assessments in place to ensure risks were managed safely.
Infection control was managed throughout the home. During our inspection we noted some shelve edging needed repair and a microwave had started to rust and a peddle bin was broken. All these issues were immediately resolved by the registered manager.
People's needs were assessed, and care was delivered in line with them. Care plans and risk assessments were kept under review and continuous assessment to ensure people received support in line with their current needs.
Staff received training and felt supported by the management team. Care plans showed people had been referred to other professionals as required.
People were supported to eat and drink enough and were given a choice. Hydration stations were available throughout the home and people could them access throughout the day.
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. Best interest decisions were documented well in care plans.
Social stimulation was available, and we saw various activities taking place throughout the day.
The provider had a clear auditing system in place which identified and issues to be addressed. Action plans were drawn up to ensure things were dealt with in a timely way. The provider had a complaints procedure and people felt able to raise concerns and felt listened to.
The provider sought feedback from people and used this to develop the service. One example was that people had requested a library and this was in the process of being developed.
The registered manager worked well with other professionals and took appropriate actions when required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 6 May 2021 and this is the first inspection.
The last rating for the service under the previous provider at the previous premises was good published on 16 October 2018.
Why we inspected
We inspected the service to provide a rating.
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 Hatfield House 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.
We found the following examples of good practice.
Visitors to the home were required to follow infection control procedures and were asked to complete a lateral flow test. Personal protective equipment (PPE) was then supplied.
Professional visitors were required to show a negative lateral flow test and evidence of COVID-19 vaccination. Visitors completed a form to ensure they are not showing any symptoms of illness.
Social distancing was observed as far as it was practicable to do so. Staff wore appropriate PPE, regularly washed their hands and applied hand sanitiser. Staff had completed training in infection control, COVID-19 and putting on and taking off PPE.
Staff and people using the service took part in the home’s testing programme. Actions were swiftly taken when anyone tested positive with COVID-19.
Welfare meetings were held with staff to discuss issues relating to COVID-19. This showed the provider supported staff throughout the pandemic.
The home was clean and there were no malodours. Staff had access to cleaning products and cleaning schedules included high touch areas such as door handles and handrails, which were cleaned regularly.