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Inspection Summary


Overall summary & rating

Good

Updated 23 September 2020

Harwood House is a care home with nursing which is registered to provide care for up to 35 people. Twenty one people were using the service at the time of this visit. All bedrooms were single occupancy and had en-suite facilities.

We found the following examples of good practice.

Robust infection prevention and control measures were in place. Visitors to the home were restricted. People’s families and friends could visit by arranging an appointment for a garden visit. There was plenty of outdoor space for this to take place in. People receiving end of life care were moved to vacant rooms on the ground floor. These had doors leading to the garden and enabled relatives to come into the building safely, to spend time with their family members. Any healthcare professionals who came to the home wore full personal protective equipment (PPE) to treat people, and changed it for each person they saw. There were supplies of PPE by the front door and plenty of posters and signage to alert people to the restrictions and measures in place.

The premises were kept in a clean and hygienic condition throughout. Areas of potential high risk of cross-infection, such as handrails and light switches, were regularly disinfected. The service had a disinfection fogging machine to enable deep cleaning to take place. Supplies of PPE were available to staff throughout the premises. There were 22 automatic hand sanitiser dispensers for staff and other people to use around the building and a foot-operated pump dispenser by the front door. Staff wore PPE and had been supplied with surgical scrub uniforms which they changed in and out of on the premises. These were laundered on site. There were showering facilities for staff to use.

Staff had received training on infection prevention and control. This included use of PPE and how to put it on and take it off. The risks of potential exposure to the virus had been assessed for all staff, taking into account health conditions and high risks associated with people from black, Asian and other ethnic minority backgrounds.

Staff and people who used the service were tested for Covid-19. The service had a good supply of testing kits and most recent swabs showed everyone tested negative. People were tested prior to admission to the home.

The home effectively managed an outbreak of Covid-19 and prevented further spread; everyone affected recovered without the need for hospital care. A root cause analysis was carried out following this, to help prevent further occurrence.

The collective knowledge and forward planning by managers was impressive. For example, disposable crockery and cutlery was used for anyone who tested positive for the virus. Managers told us there were plans to build a two-bedded isolation ‘pod’ on site. This would house anyone who required isolation and could include staff, if they needed to stay on site.

The home had liaised with appropriate external bodies for advice and guidance, such as Public Health England and the local authority’s infection prevention trainer. A business contingency plan was in place, to reduce the effects of potential disruption to people’s care. This included supplies of people’s medicines, food and oxygen, as examples, and assessment of which tasks were critical in the event of a reduced workforce. Assessment had been carried out to ascertain the home’s level of preparedness for disruption. There were policies and procedures to provide guidance for staff on safe working practices during the pandemic. Auditing and observation of care practice took place to ensure these were adhered to.

Inspection areas

Safe

Good

Updated 23 September 2020

We were assured the service was following safe infection prevention and control procedures, to keep people safe.

Effective

Good

Updated 23 September 2020

Caring

Good

Updated 23 September 2020

Responsive

Good

Updated 23 September 2020

Well-led

Good

Updated 23 September 2020