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The Hawthorns Requires improvement

We have removed an inspection report for The Hawthorns from 11 December 2018. The removal of the report is not related to the provider or the quality of this service. We found an issue with some of the information gathered by an individual who supported our inspection. We will reinspect this service as soon as possible and publish a new inspection report.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 May 2020

About the service

The Hawthorns is a care home providing both nursing and personal care to people. The service accommodates up to 105 people with a range of needs including neurological rehabilitation, general nursing and some living with a dementia. At the time of inspection 83 people were living at the service.

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

The service had five units each with its own head of unit reporting to the registered manager. Out of the five units we only found issues on one unit. Records relating to the daily and weekly monitoring of vital equipment had not been regularly completed. Some important documentation did not form part of an audit and nursing staff responsible for the recording of the information had not alerted the management team of the lack of its completion.

Governance systems were not always effective. The issues we identified on the unit had not been recognised. Competencies of training had not been monitored effectively. The registered manager immediately addressed the issues we identified and ensured people were safe.

People told us they were happy at the service. Medicines were managed safely. Enough staff were deployed to meet people’s needs.

People and relatives told us staff were kind and caring and promoted independence. People received care from staff who knew them well.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Care and support plans varied. The majority of care plans were personalised and had input from people and their relatives. Care plans to support people with a specific support need lacked information around situations where staff were needed to take immediate action.

People had a range of activities to support their emotional, physical and social needs.

People, relatives and staff were regularly asked for feedback, this information was used to make improvements.

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 21 June 2016). There was an inspection on 17-18 October 2018 however, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.

Why we inspected

This is a planned re-inspection because of the issue highlighted above.

Enforcement

We have identified a breach in relation to the failure to keep accurate and complete records and to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 15 May 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 May 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 May 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 May 2020

The service was not always well-led.

Details are in our well-led findings below.