You are here

Hallaton Manor Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 June 2021

About the service

Hallaton Manor Limited is a residential care home providing personal care for up to 41 people. The service supports younger and older people living with mental health, dementia and who may have a history of substance or alcohol misuse. Accommodation is provided in an adapted manor house with vast external grounds. At the time of our inspection 34 people were using the service.

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

The provider had not consistently acted in accordance with the requirements of the Mental Capacity Act 2005 where people lacked mental capacity to make informed choices around their care and support. Best interest processes were not always followed.

Risk assessments required improvement. Not all known risks to people had sufficiently detailed and documented risk assessments in place. However, staff knew people well and knew what to do to keep them safe. Areas of the premises required remedial action to ensure the safety of people of using the service and timely redecoration.

The provider had systems in place to check the quality and safety of the services provided. However, not all the shortfalls we found during the inspection had been identified. There was no service improvement plan in place to evidence who was responsible for remedial actions and how and when these would be made.

Overall, people were protected from infection. However, the practice of using a shared hoist sling for a standing aid did not support effective infection control. The manager told us they would address this immediately following our inspection visit. Staff wore appropriate personal protective equipment and the home appeared clean and odour free.

People were protected from abuse, systems and processes were in place to identify and report any abuse or harm. People were supported by a consistent team of staff who knew them well. There were enough staff deployed to meet people's needs. Staff had been safely recruited, though this was not always evidenced in staff recruitment files.

People were supported to take their medicines safely and as prescribed. Staff encouraged people to eat and drink a balanced diet which took account of their needs and preferences. Staff ensured people had access to a full range of health and social care services to maintain their well-being.

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 this service was good (Published 20 January 2021)

Why we inspected

The inspection was prompted in part by notification of a specific incident. Following which a person using the service experienced abuse. This incident is subject to further investigation. As a result, this inspection did not examine the circumstances of the incident. We undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

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 coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hallaton Manor Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 30 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 June 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 30 June 2021

Responsive

Good

Updated 30 June 2021

Well-led

Requires improvement

Updated 30 June 2021

The service was not consistently well-led.

Details are in our well-led findings below.