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Acorn Hill Nursing Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 31 May 2019

Rating at last inspection

At our last inspection of Acorn Hill (report published on 16 November 2018) we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We rated the service as Requires Improvement. At this inspection we found the breaches were met but further improvements were needed to ensure people received safe, effective care that met their needs.

About the service

Acorn Hill Nursing Home is registered to provide accommodation, nursing and personal care to up to 59 people, some of whom are living with dementia and/or have complex physical and mental health needs. At the time of our inspection there were 29 people using the service.

People’s experience of using this service

Since our last inspection the registered manager, provider and staff have made many improvements to the home. People, relatives and staff were positive about the home and told us about some of the improvements they had seen.

However further improvements were needed in the following areas: infection control; care records; staff following care plans and risk assessments; people and relatives’ involvement in care reviews; and the home’s audit system. The registered manager, provider and staff were working to address these issues.

People and relatives said the home was safe. A relative said, “[Person] is definitely safe. I can see how the staff look after [person] and I’ve seen them ensuring the safety of other residents here.” Staff were trained in safeguarding and knew how to protect people from abuse and harm and who to report any concerns to.

Staff were kind and caring when supporting people and offered them choices. People told us staff encouraged them to express their views and make decisions about their care and support. Care plans focused on people’s abilities and what they could do for themselves.

Staffing levels had improved. A relative said, “There is more staff than there used to be. I’m happy with it now and I have no complaints about the staff.” During our inspection visit there were enough staff on duty to meet people’s needs and spend quality time with people, assisting them with activities and socialising.

Staff were knowledgeable and experienced. A relative said, “I’m happy with staff skills. [Person] has as good a quality of life as they could get.” Improvements had been made to the storage, management and administration of medicines. People had the medicines they needed at the right time.

People and relatives said they liked the food served. A person said, “The food is good and we always have lots of drinks.” A relative told us, “[Person] loves the food. I’ve eaten it and it’s very nice. Very good portions, seconds offered.” Staff monitored people’s nutrition and hydration tools and ensured they had enough to eat and drink.

Staff ensured people’s healthcare needs were met. People saw GP’s and other healthcare professionals when they needed to. Staff monitored people’s well-being and took action if they were unwell. The home was working within the principles of the Mental Capacity Act 2005 and staff knew how to support people in making decisions and choices.

Improvements had been made to the premises to ensure they were fit for purpose. Better signage was in place to help people find their way around and staff had made the environment more stimulating using tactile objects, pictures, and murals.

People and relatives said they thought the home was well-led and the managers and staff kind and approachable. A relative said, “I chose this home because I like the lay out, the food, and the friendliness.” People, relatives and staff were invited to share their views about the home at meetings, through surveys, and on a one-to-one basis. They were listened to and changes and improvements made because of their input.

For more details, please see the full report which is on the CQC website at

Why we inspected

This was a planned inspection based on the previous rating.

Inspection areas


Requires improvement

Updated 31 May 2019

The service was not always safe

Details are in our Safe findings below.



Updated 31 May 2019

The service was effective

Details are in our Effective findings below.



Updated 31 May 2019

The service was caring

Details are in our Caring findings below.


Requires improvement

Updated 31 May 2019

The service was not always responsive

Details are in our Responsive findings below.


Requires improvement

Updated 31 May 2019

The service was not always well-led

Details are in our Well-Led findings below.