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Hadley Place Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 September 2020

About the service

Hadley Place Residential Home is a care home providing accommodation and personal care for up to 29 older people, some of whom may live with a mental health condition or dementia. At the time of our inspection 25 people lived at the service.

People’s experience of using this service

Records were not up to date and checks in place to monitor the quality of care being provided had not identified or addressed the concerns found. Improvements had not been made since the last inspection in relation to governance and oversight.

Risks to people were not always identified and managed. Processes in place to ensure the health and safety of the building were not being clearly recorded to provide assurance to the manager that the building and equipment were safe. Medicines processes did not always follow best practice.

One area of the recruitment process required improvement to ensure safe and robust recruitment of new staff.

Accidents and incidents were not effectively monitored to consider lessons learnt and reduce the risk to people. There were a number of incidents that should have been notified to Care Quality Commission (CQC) and the local safeguarding authority but this had not been done.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 18 November 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of this regulation and more breaches were found.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same as the last inspection, requires improvement. This includes the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hadley Place Residential Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to record keeping, safeguarding, the management of risks and monitoring of improvements and the notification of serious incidents and safeguarding matters to CQC.

Please see the action we have told the provider to take at the end of this report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will 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 12 September 2020

The service was not always safe.

Effective

Good

Updated 12 September 2020

Caring

Good

Updated 12 September 2020

Responsive

Good

Updated 12 September 2020

Well-led

Inadequate

Updated 12 September 2020

The service was not well-led.