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Hawksyard Priory Nursing Home Requires improvement

We are carrying out a review of quality at Hawksyard Priory Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 February 2021

About the service

Hawksyard Priory Nursing Home is a nursing home providing personal and nursing care to people aged 65 and over and younger adults. The service can support up to 106 people across three floors. At the time of the inspection the service was supporting 64 people, some of whom were living with dementia.

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

Care plans were in place, however for some people there was a lack of recorded information available for staff in regard to distressed behaviours. There were not always enough staff to support those living with dementia.

Where people were prescribed ‘as required’ medicines there were some incorrect stock levels. Audit processes had not identified issues with behaviour management protocols within care plans or differing stock levels for some ‘as required’ medicines.

People were protected from the risk of abuse and by trained staff that understood how to keep people safe and the process to report any concerns.

Infection control guidance was being followed to ensure people were being protected against the risks in regard to COVID-19.

Statutory notifications were received as required. Systems were in place to learn when things went wrong and other professionals were contacted for support.

The manager understood their responsibilities, including duty of candour. People and staff were felt able to approach the management team.

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 30 October 2019) where there was a breach of a regulation 17

The provider completed an action plan after the last inspection to show what they would do and by when to improve the service. Overall an improvement was noticed in other areas that were not looked at as part of this inspection and there was no evidence that people had been harmed. However, the provider was still in breach of regulation 17.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions were not looked at on this occasion but were used in calculating the overall rating at this inspection. The overall rating for the service has remained as requires improvement. This is based on the findings at this inspection.

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

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 26 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 February 2021

Caring

Good

Updated 26 February 2021

Responsive

Good

Updated 26 February 2021

Well-led

Requires improvement

Updated 26 February 2021

The service was not always well-led.

Details are in our well-Led findings below.