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Archived: Harnham Croft Care Home

The provider of this service changed - see new profile

Reports


Inspection carried out on 2 January 2014

During an inspection to make sure that the improvements required had been made

At the last inspection in September 2013, staffing shortages negatively impacted upon the service people received. Call bells were not being answered properly and some people had to wait for the assistance they required. Staff did not consistently respect people�s dignity. We issued two compliance actions to ensure the provider made improvements.

The provider sent us an action plan which confirmed they had taken action in relation to the areas we identified.

During this inspection, we saw improvements had been made. There were positive interactions between staff and people who used the service. Staff were respectful, caring and attentive.

Various staff training sessions had been held to enhance awareness of dignity and what this meant to people. Experiential learning was used which assisted staff in reflecting on their values and practice.

Adjustments had been made to enable meal times to be pleasurable experiences rather than just a task of eating. People who required assistance to eat were allocated specific staff to help them. This meant people received focused attention without interruption.

People and their visitors were complimentary about the staff team and the changes being made within the home. Monthly meetings had been introduced to share information and to enable people to give their views more readily.

Staffing shortages were being robustly addressed. Eight new staff had been recruited and a new hostess role had been introduced. Less agency staff were being used which enabled people greater consistency with their care.

Inspection carried out on 24 September 2013

During a routine inspection

A new manager had recently started at the home. They are in the process of registering with us to become the registered manager.

People were comfortable and looked well cared for. They were happy with the care they received. Each person had a detailed, well written plan of care which identified how their health and personal care needs were being met. Care charts were fully completed and demonstrated the support people received.

People told us staff promoted their privacy and dignity although not all interactions reflected this view. At lunchtime, staff did not engage with people well. They did not give some people assistance to eat in a dignified and individualised manner.

Staff received a range of training opportunities which enabled them to do their job effectively. Staff felt well supported and a new system of formal staff supervision had been implemented.

People and their visitors liked the staff and there were positive comments about the new manager and the management team. However, current staffing shortages negatively impacted upon the service people received. Call bells were not being answered promptly and some people needed to wait for the assistance they required.

There was a clear quality auditing system in place. People were encouraged to raise their views through individual discussion or 'resident�s meetings.' Regular audits were taking place. Attention was being given to improving staffing levels and enabling people greater choice within their daily lives. There was a commitment to further develop the service people received.

Inspection carried out on 31 October 2012

During a themed inspection looking at Dignity and Nutrition

People told us what it was like to live at this home and described how they were treated by staff and their involvement in making choices about their care. They also told us about the quality and choice of food and drink available. This was because this inspection was part of a themed inspection programme to assess whether older people living in care homes are treated with dignity and respect and whether their nutritional needs are met.

The inspection team was led by a CQC inspector and joined by an Expert by Experience (People who have experience of using services and who can provide that perspective).

People had very positive view about what is was like to live at Harnham Croft. Examples of comments people told us included, �People are treated very well�. �The staff try to maintain independence�. �They are all kind�. �It�s almost like a hotel�. �The staff are always kind and understanding�.

Inspection carried out on 3 February 2011

During a routine inspection

People told us that they could make decisions about their daily lives. They said they could choose what they wanted to do, where and what they wanted to eat and when they wanted to get up. They said they could choose an alternative meal, if they did not like what was on the menu. People could have a copy of their food choices, so they could remember what they had ordered. There were varying comments about the food although most people told us that they enjoyed the meals. People told us they enjoyed visits from their family and some people said that they would like to go out more. The manager told us that attention was being given to improving people�s contact within the local community.

People told us that they were happy with the care they received. People were positive about the staff although some people said they often had to wait for staff assistance, after using their call bell. They said this was especially so in the mornings and the evenings. People told us that they would talk to the staff or their families, if they had any concerns. They said they were able to give their views about the service they received but were not always informed of the results of quality audits or surveys.

People told us that the home was always very clean. They said they had the required equipment to meet their needs.

Reports under our old system of regulation (including those from before CQC was created)