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Inspection Summary


Overall summary & rating

Good

Updated 7 September 2018

This inspection took place on 08 August 2018 and was unannounced. At our last inspection in July 2017, the service was overall rated as “Good” but the safe domain was rated as “Requires Improvement.” This was because we found that people’s medicines were not always managed safely. We asked the provider to take action to make improvements regarding medicines management. At this inspection, we found that the action has been completed and the service continued to be rated “Good”.

Harts House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to provide care for 61 older people some of which may have palliative care needs. On the day of our visit there were 53 people using the service.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service were protected from the risk of abuse because the provider had taken steps to identify the possibility of abuse and prevent abuse from happening. Risks associated with people's care were identified, and there was sufficient guidance for staff about how to keep people safe.

People were supported with medicines administration by staff who had been trained to do so. The service worked in partnership with other health professionals to ensure people received effective care and support.

There were assessments undertaken and care plans developed to identify people’s health and support needs. Systems were in place to ensure staff were up to date about people’s needs and were aware of people’s preferences.

Staff had a good understanding of the Mental Capacity Act (2005) and sought people’s consent before providing any care and support. They were knowledgeable about people they supported.

Staff were supported through supervision and appraisals. They felt supported to carry out their roles and were in regular contact with the registered manager. There were sufficient numbers of staff to meet people’s needs and staff recruitment processes were robust.

People were able to make choices with regard to their daily lives such as what they would like to wear or to eat or whether they would like to join in any activities. Their privacy, dignity and independence were respected.

People, relatives and staff felt the registered manager was approachable and supportive and felt the service was managed well.

There were systems in place to manage, monitor and improve the quality of the service provided. Survey results from people and their representatives were positive and any issues identified were acted upon. Regular audits were carried out to monitor the quality of the service and drive improvements.

Inspection areas

Safe

Good

Updated 7 September 2018

The service was safe. People who used the service received their medicines as prescribed by their doctors.

People were protected against the risks of abuse as staff were clear of their responsibilities to protect people from harm.

Risks to people�s individual health and wellbeing were identified and care was planned to minimise the risks.

The provider had effective recruitment and selection processes in place. There were enough staff to meet people�s needs.

There were systems in place for the monitoring and prevention of infection.

Effective

Good

Updated 7 September 2018

The service remains good.

Caring

Good

Updated 7 September 2018

The service remains good.

Responsive

Good

Updated 7 September 2018

The service remains good.

Well-led

Good

Updated 7 September 2018

The service remains good.