Archived: Hawthorn Manor Residential Home

People we spoke with were happy with the care and treatment they received at the home. People spoke highly of the staff and one person said "they look after me very well here". We found that people's needs were assessed and care and treatment provided was delivered to meet their needs.

We found that there were adult safeguarding policies in place and staff had received training in safeguarding.

We found that people were protected from the risks associated with infection because appropriate procedures were followed by staff. The new manager in post had implemented infection control audits and these were effective. The home smelt clean and fresh and peoples bedrooms were neat and orderly.

Medicines were kept safely and there were processes to ensure the security administration and disposal of medicines within the service.

There were formal mechanisms and documentation in place to indicate that the provider was able to monitor and assure the quality of the service people received.

People were not always protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not being maintained.

At this visit we saw that the Provider had started to make changes but that these had not gone far enough to address the areas highlighted in our report of the previous inspection.

We spoke with five people who used the service and they told us that they were happy with the care they received. We observed that there were enough staff on duty and that they treated people gently and with kindness. However, the Provider could not evidence that valid consent to care had been obtained from people and risk assessments contained confusing information about people's needs.

We found that people were given a choice of meals and adequate portions. Allergies and dislikes were recorded and taken into account by the cook.

Information and contacts about keeping people safe was either not available or not easily accessible by staff. Although the standard of cleaning had improved at the service, clinical waste and dirty laundry continued to be inappropriately transported.

The Provider did not have effective systems in place to identify, assess and manage risks to people's health, safety and welfare.

However care plans held contradictory information about peoples ability to make their own decisions.

Care plans contained photos, recorded peoples likes and dislikes and details about their social backgrounds. Risk assessments had been made about various aspects of the care provided.

We found that these assessments were not always supported by information to show how the risks were managed.

The home provided a choice of meals, food was hot and portions reasonably-sized. People told us: 'It's very good food-ample'.

We saw that assessments about peoples risk of poor nutrition were not always up-to-date and monitoring of food intake had not always happened.

The home appeared generally clean and tidy but some areas and equipment needed deep-cleans to ensure they remained clean and hygienic.

People had individual lockable medicine cabinets in their bedrooms.

We found that not all medication had been stored, recorded and dispensed in a suitable and safe manner.

Staff told us that they enjoyed working at the home and felt there were enough carers on each shift.

On the day of our inspection we noted a lack of visible staff on duty.

People and their relatives had been invited to complete surveys to give their opinions of the home.

We read a number of completed surveys but the provider had not yet evaluated them.

There were no regular audits being carried out in the home to monitor the quality of services being delivered.

People's needs were assessed prior to moving to the home. People experienced safe and appropriate care which met their individual and diverse needs. The staff involved people in planning and reviewing their care. Staff had good relationships with medical, health and social care professionals and referred to them for advice and care to promote people's wellbeing.

People felt safe at the home and staff understood their roles in relation to protecting people from abuse.

Staff handled medicines safely and securely, and people had support to receive medicines they needed at times they needed them.

Staff were trained, supported and supervised to ensure that people in their care were safely looked after.

There were systems in place to monitor the quality of care people received.