Hawthorne Nursing Home

Updated 29 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector and a specialist advisor (SPA) in nursing. A second inspector attended to carry out a short observations framework for inspection (SOFI).

Service and service type: Hawthorne Nursing Home is a residential care home that provides personal and nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

The inspection took place on 30 April 2019

What we did:

We reviewed the information we received about the service since the last inspection. This included checking incidents the provider notified us about such as serious injuries and abuse. We sought feedback from the local authority, Healthwatch and professionals who work with the service. We assessed information we require providers to send us at least once annually to give some key information about the service, what the service does well and any improvements they plan to make. We used all of this information to plan our inspection.

During the inspection we spoke with four people who used the service and one person’s advocate. We also spoke with one relative who was visiting on the day. We spoke with 12 members of staff including the registered manager and deputy manager, nurses, cook, care staff and the housekeeper.

We reviewed a range of records. This included four people’s care plans and medication records. We also looked at five staff files in relation to recruitment, training and supervision records. We reviewed records relating to the management of the home and a broad range of policies and procedures.

Updated 29 May 2019

About the service: Hawthorne Nursing Home is a residential care home that provides personal and nursing care for up to 36 people. At the time of our inspection 30 people lived in the service.

People’s experience of using this service:

The home had made improvements since our last inspection, the people that we spoke to said that Hawthorne Nursing home was a good place to live and that staff treated them with respect and kindness.

People’s health and social care needs were managed well by management and the staff team. There were positive relationships with professionals which supported people’s overall wellbeing.

Medicine was administered safely and there were clear protocols in place for medicine which taken when required. Records were kept up to date and Medication administration records (MAR) were all correct and checked by nursing staff and the registered manager.

The registered manager showed evidence of ongoing quality monitoring across all aspects of the service. Any concerns raised by residents’ relatives or staff were investigated and addressed. This was also used to inform improved practises throughout the home.

People had enough to eat and drink. People were offered choices and had an input into the menu planning. The lunchtime experience was relaxed, and staff were assisting with serving meals and assisting people to eat where necessary.

There were a variety of activities both to keep people occupied and entertain them and physical activities to assist with people’s mobility. People were consulted on what they wanted to do giving people choice and control.

Rating at last inspection: At the last inspection Hawthorne Nursing Home was rated as Requires Improvement. The last inspection took place on 10 January 2018.

Why we inspected: This was a planned inspection based on the rating at the last inspection. We saw improvements had been made since our last inspection. The registered manager now has systems and processes in place to respond to complaints and to monitor the quality of the service.

Follow up: We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.