Henford House is a care home providing personal and nursing care to 31 older people at the time of the inspection. The service can support up to 58 people.
People’s experience of using this service and what we found
People were not always supported to safely take the medicines they were prescribed. Some people had not received their medicines and staff had not completed accurate records for other people. This meant it was not possible to say whether some people had received their medicines.
The provider had quality assurance systems in place. However, the audits had failed to identify the shortfalls we identified. We have recommended the provider seeks guidance on the systems they have in place and the training provided to staff who complete audits.
The provider did not have a registered manager in post, which is required as a condition of their registration. The home was being led by an operations manager, who said they intended to apply for registration while the provider was recruiting a permanent manager for the home.
People and their relatives felt safe living at Henford House and felt staff treated them well.
The provider had made changes in response to the COVID-19 pandemic and there were good infection prevention and control measures in place.
The operations manager had worked well with people and their relatives to identify improvements that were needed at the service and plan out how to achieve them. Progress with the action plan was being overseen by senior directors to ensure the necessary improvements were made.
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 16/10/2020)
Why we inspected
We received concerns in relation to managing the risks people faced, infection prevention and control measures and management of the service. As a result, we undertook a focused inspection to review the key questions of safe 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 have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Henford House on our website at www.cqc.org.uk.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.