Halcyon Court Care Home

Updated 2 February 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and 1 medicines inspector.

Service and service type

Halcyon Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Halcyon Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We sought feedback from the local authority, commissioners and Healthwatch Leeds. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with 10 people who use the service and 1 relative about their experience of the care provided. We spoke with 7 staff members including the registered manager, carers and housekeeping staff.

We reviewed a range of records. This included 5 people’s care records, multiple medication records and health and safety records. We looked at three staff files in relation to recruitment, induction and supervision. We reviewed records relating to the management of the service, including policies, procedures, training data and quality assurance records.

Updated 2 February 2023

About the service

Halcyon Court Care Home is a residential care home providing accommodation and personal care for up to 71 people, some of whom are living with dementia. At the time of our inspection there were 48 people using the service. Care is provided across 6 floors.

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

Risks to people’s health and safety were effectively managed, including Infection Prevention and Control (IPC) risks. People felt safe at the service and were safeguarded from the risk of abuse.

There were enough staff to meet people’s needs. Staff received support and training to fulfil their role and provide a good standard of care. Medicines were effectively managed.

The registered manager had oversight of the quality assurance processes at the service. Outcomes were shared with staff to inform improvement.

There was a positive culture in the service that achieved good outcomes for people. People were happy living at the service and spoke positively about staff and the care they received. The service worked effectively in partnership with other organisations such as the GP surgery and local authority.

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.

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 18 September 2018).

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of environmental risks. This inspection examined those risks.

The provider had taken action to mitigate the environmental risk to people.

The inspection was also prompted in part due to concerns received about staffing and medicines management. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from the concerns. Please see the safe and well-led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Halcyon Court Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.