25 October 2022
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.
The inspection was carried out by three inspectors and an 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
Hatton Grange 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. Hatton Grange is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post. The registered manager was on annual leave during our visits.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included feedback, concerns, investigations, and statutory notifications which the provider is required to send to us by law. We also sought feedback from professionals. 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
We spoke with nine people who used the service and five relatives. We spoke with seven staff members. This included, one kitchen staff, three carers, two deputy managers and the district manager.
We looked at seven people’s care records, associated documents, medicines records and medicines related documentation. We also looked at three staff files, training and supervision records, as well as records relating to the operation and management of the service. We undertook a tour of the building, observed medicines administration and their storage and completed observations in the communal areas.
25 October 2022
About the service
Hatton Grange is a residential care home providing personal care for up to 70 people across three separate floors. Each floor is separated into two units, one providing residential care and one providing support for people living with dementia. The service provides support to people over 65 years. At the time of our inspection there were 58 people using the service.
People’s experience of using this service and what we found
Peoples felt safe in the service. Staff were recruited safely and there were enough staff to meet the needs of people living in the service. Staff were aware of how to recognise and report concerns. The environment needed some repair and risk assessments were not always being updated. We made a recommendation about ensuring risk is regularly reviewed and relevant assessments updated. Medications were managed safely. Infection Prevention and Control measures were in place and being followed.
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.
Peoples were having their diet and nutritional needs met. The provider worked in partnership with other agencies to maintain people’s health and wellbeing. Staff received regular training and supervision.
Peoples were being treated with dignity and respect. People were supported to express their views on the service and their communication needs were being considered.
Peoples were supported to have person centred care. We have made a recommendation about recording the involvement of people and their relatives in care planning. Activities were being offered at the service, although people told us they wanted more variation which the provider was exploring. Processes and systems were in place to respond to complaints.
Staff were positive about the management and felt they were approachable and supportive. People and staff were involved in decisions about the service and their views were being sought through surveys and meetings. Governance polices, systems and processes were in place and were being used to maintain oversight of the service. Staff had a good knowledge of their roles and responsibilities and were able to manage the service when the registered manager was on annual leave.
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 the service under the previous provider was good (published November 2019).
At our last inspection we recommended that the provider monitors staffing levels to ensure there are enough staff to meet people’s needs. At this inspection we found the provider had made improvements and there was enough staff according to dependency tools and feedback we received.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 Hatton Grange on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.