Archived: Hawksyard Priory Nursing Home

Updated 13 September 2022

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.

This was a targeted inspection to check on a concern we had about people’s safe care and treatment and the management of risk.

Inspection team

This inspection was completed by three inspectors.

Service and service type

Hawksyard Priory Nursing Home 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. Hawksyard Priory Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who worked with the service.

During the inspection

We reviewed ten people’s care records and one person’s medicines records. We also spoke with three people and 11 staff including the nominated individual, the registered manager, two consultants, a nurse and the clinical lead and care staff. Following the inspection, we reviewed information the management team had sent us in relation to the concerns we found at this inspection and the oversight of the home.

Updated 13 September 2022

About the service

Hawksyard Priory Nursing Home is a nursing and residential home providing personal and nursing care to up to 106 people over three different floors. There is access to a church and gardens at the service. The service provides support to people with physical and emotional needs, some of whom are living with dementia. At the time of our inspection there were 61 people using the service.

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

People were not supported in a safe way by staff who had clear guidance and knowledge around their needs and the associated risks. People were not supported in a safe way to receive their medicines. People were not supported in a well maintained environment. People involved in accidents and incidents were placed at prolonged risk of harm as action was not always taken to mitigate future risks. At times, people had to wait for support and their needs were not always met.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. People were not always supported in line with their needs around eating and drinking. People and those important to them were not always involved in reviews around their care. People did not always have timely access to healthcare professionals.

People were not treated in a caring way by staff that promoted their dignity and respected their independence. People's preferences were not always included within their care plans. Quality assurance tools had failed to identify where improvements were required to people's care and support placing them at prolonged risk of receiving poor quality care. People's feedback was not acted on in a timely way.

We have made a recommendation around the recruitment process and deployment of staff.

People felt able to complain and relatives felt staff knew people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 09 March 2022).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about the management of risk and leadership at the service. A decision was made for us to inspect and examine those risks.

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.

The overall rating for the service has changed from requires improvement to inadequate based on the findings of this inspection. We have found evidence that the provider needs to make improvements.

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

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to people’s safe care and treatment, dignity, capacity and consent, the upkeep and safety of the environment, supporting people safely with their nutrition and hydration and the leadership and oversight at this inspection.

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 request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.