You are here

Howlish Hall Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 September 2019

About the service

Howlish Hall is a residential care home providing accommodation and personal care for up to 40 people aged 65 and over. There were 28 people living here at the time of our inspection.

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

The provider and the manager had taken steps to improve the service and ensured people received safer care. An action plan to address the warning notice carried out by CQC had been implemented. All the requirements of the warning notice had been met.

Staff supported people to access chairs which were suitable for their height and enabled them to better stand up. People’s care records had been updated to include nutritional information and the use of bed rails. Actions had been taken to reduce the risk of people becoming trapped in the bed rails.

Audits to measure the effectiveness of the service had been improved. They now included checks on bedrails, emergency pull cords and topical medicines.

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.

Rating at last inspection and update:

The last rating for this service was requires improvement (published 29 June 2019) when there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Following our last inspection, we served a warning notice on the provider and the registered manager. We required them to be compliant with Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 by 31 July 2019.

Why we inspected

This was a targeted inspection based on the warning notice we served on the provider and the registered manager following our last inspection. CQC are conducting trials of targeted inspections to measure their effectiveness in services where we served a warning notice. The provider completed an action plan after the last inspection to show what they would do and by when to improve the governance of the service.

We undertook this targeted inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the governance of the service. The overall rating for the service has not changed following this targeted inspection and remains requires improvement. This is because we have not assessed all areas of the key questions.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 6 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 September 2019

The service was not always effective.

Details are in our safe findings below.

Caring

Requires improvement

Updated 29 June 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 29 June 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 6 September 2019

The service was not always well-led

Details are in our safe findings below.