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Archived: Hovenden - Care Home with Nursing Physical Disabilities Good

Reports


Inspection carried out on 8 August 2014

During a routine inspection

People and their relatives were very happy with the service. In addition, our own observations and the records we looked at supported this view. People were cared for safely. Staff were able to tell us about how to keep people safe. The provider acted in accordance with the Mental Capacity act (2005) (MCA) and deprivation of liberty Safeguards (DoLS). The provisions of the MCA are used to protect people who might not be able to make informed decisions on their own about the care or treatment they received. This includes decisions about depriving people of their liberty so that they get the care and treatment they need where there is no less restrictive way of achieving this. If the location is a care home CQC is required by law to monitor the operation of the DoLS, and to report on what we find. At the time of our inspection there was one person who was subject to DoLS.

We found that people’s health care needs were assessed, and care planned and delivered to meet those needs. People had access to other healthcare professionals such as a dietician and a chiropodist.

People were supported to eat enough to keep them healthy. People had access to a range of snacks and drinks during the day and had choices at mealtimes. Where people had special dietary requirements we saw that these were provided for.

We looked at records of fluid intake and found there were gaps in the completion of the record which could put people at risk of not having sufficient fluids. We also found gaps in the records which recorded when people were weighed. This meant there was not a complete record for staff to use to monitor changes in people’s health.

People had their privacy and dignity were respected and made positive comments about staff. We saw that care took into account people’s preferences and that staff obtained people’s consent before providing care.

Staff were provided with both internal and external training on a variety of subjects to ensure that they had the skills to meet people’s needs. Staff knew how to raise concerns. We found people and relatives were clear about the process for raising concerns and were confident that they had a voice in the running of the service.

Inspection carried out on 4 July 2013

During a routine inspection

People expressed their views and were involved in making decisions about their care. The manager told us, records showed and people who used the service told us they had been involved in reviews regarding their care plans. One person told us, “I am happy with my care plan. I said what I wanted to put in it and they [staff] jotted it down.”

Records showed people were encouraged and supported to make decisions about their care. People had been asked to discuss their goals and what activities they wanted to take part in.

People told us staff supported them with their medication. One person said, “Staff are good at giving medication, they look after them [tablets] for us and put cream on when needed.” We observed a medication round. We could see medication was administered safely.

We reviewed the staff rotas that had been created by the manager for a period of two weeks in June 2013. We saw shifts were fully staffed to the levels described by the manager.

The provider took account of complaints and comments to improve the service. People told us they were able to raise concerns with the manager. One person told us, “I feel I can speak to the manager.” They also said, “I can go to the manager and they will do something about it.”

We saw the provider had changed the way care was planned and recorded. The provider had introduced a new person centred care plan system. People told us they had been working with staff on the new care plans. The new care plans had a clear structure and an index so information was easy to find.

Inspection carried out on 18 December 2012

During a routine inspection

Hovenden House provides nursing care to people with physical disabilities. When we visited 22 people were living at the home. We spoke with seven people who lived at Hovenden House.

People told us they were involved in their care and we saw they had signed their care plans.

People told us staff were not always respectful when they spoke to them. One person told us, “It’s sometimes a bit rough the way the staff speak, it’s not my fault it’s the way I am.” Another person said, “They don’t understand how I feel, I find it frustrating sitting in a chair all day.”

People told us care met their needs. One person told us, “I don’t usually have to call at night but if I was uncomfortable the carers will come and fetch the nurse if I need painkillers” Another person said, “They don’t sit and talk to me about my care needs but the staff are really good at caring.”

We saw medication was administered appropriately. However there was a lack of investigation into errors and out of date medication was not disposed of.

Systems were in place to identify the number of staff required to meet people’s needs. However, we saw shifts were not always fully staffed. One person told us, “They are short of staff, sometimes the staff work double shifts and they definitely need more staff.”

We saw there were systems in place to respond to complaints.

Records did not always reflect the care given to people. Care plans were untidy and contained out of date information.

Inspection carried out on 24 February 2012

During an inspection to make sure that the improvements required had been made

We visited the service on the 30 August 2011, where we identified concerns with the cleanliness of the service and the maintenance of the building. We asked the provider to supply an action plan to evidence how they were compliant with this outcome.

People told us they were involved with decisions regarding the redecoration of the service. They said that they were happy with the cleanliness of the home.

Inspection carried out on 30 August 2011

During a routine inspection

People told us they were treated with dignity and respect. One person said “I can do what I like.”

People were happy with the care that was provided. They told us their needs were met and they liked living at the home, however other people said they sometimes had to wait for assistance.

People told us they trusted the people who cared for them and they felt safe living at the home.