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Archived: Hexham Carntyne Residential Care Home Good

The provider of this service changed - see new profile

Reports


Inspection carried out on 22 January 2018

During a routine inspection

Hexham Carntyne Residential Care Home is a ‘care home’ split over three floors for 19 older people. People in care homes receive accommodation and nursing or personal care as single packages under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This home does not provide nursing care. At the time of the inspection the service was fully occupied.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good.

The service had a registered manager in post. 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.

Staff knew about safeguarding procedures, had received training and knew what to do if they had any concerns. People and their relatives reported that staff maintained their safety.

Medicines were managed appropriately, with people being given the opportunity to self-medicate where they were able.

Risk assessments were in place and these were regularly reviewed and updated as changes occurred. Personal evacuation plans detailed what staff would do in particular emergencies and fire drills had been carried out. A fire risk assessment had just been carried out and the provider was in the process of addressing the actions required. Accidents and incidents were recorded and monitored for trends occurring.

There were sufficient numbers of staff on duty. Effective recruitment and selection procedures continued to be in place. Staff were supported and had the skills and training required to adequately support the people in their care.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff were aware of the dietary needs of people and support was given when required. People enjoyed the food and refreshments available. Care was person centred, planned and regularly reviewed to ensure it continued to meet people’s needs. There were activities available for people to choose from should they have wished to participate.

Good working relationships had been developed with external health care professionals, including, GPs and nurses.

We were told the staff team were very caring. We observed warmth and kindness shown to people throughout our inspection. People’s dignity, privacy and respect were maintained by staff. Staff were discreet and remembered to speak quietly when asking people about supporting them with personal care when in the company of others. People were promoted to maintain their independence and encouraged to choose what they wanted to do. .

We saw a copy of the provider’s complaints policy and procedure and people knew how to make a complaint if they needed to. The provider had received many compliments about the care and support provided by the staff.

People, relatives and staff were asked their views and played a part in the operation of the service. People and their relatives told us that all of the staff and management were approachable. They also confirmed this included the ‘sisters’ who visited regularly.

The provider had systems and procedures in place to monitor the quality of the service provided. When issues or shortfalls were identified, corrective actions were taken. The

Inspection carried out on 26 January 2017

During an inspection looking at part of the service

The Hexham Carntyne Residential Care Home provides residential care for up to 19 people, some of whom are living with early onset dementia. At the time of our inspection there were 17 people living at the service.

We previously carried out an unannounced comprehensive inspection of this service on 1 and 3 December 2015. A breach of legal requirements was found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach. At this inspection we found the service remained rated as good overall.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hexham Carntyne Residential Care Home on our website at www.cqc.org.uk

The service had a registered manager in post. 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.

At the last inspection we found medicines management needed to be improved. We found the provider had made improvements and implemented new medicine care plans and risk assessments. They had updated the records in connection with ‘as required’ medicines to ensure that staff had the details required to support people fully. ‘As required’ medicines are those that are needed only from time to time, for example, for pain relief. We found medicines were available, stored, administered, recorded and disposed of in line with best practice.

Staff had received training in the safeguarding of vulnerable adults and were aware of what to do in the event of concerns. Suitable recruitment practices were in place which supported safer recruitment decisions and helped to protect people from abuse.

Detailed risk assessments had been completed for each person to ensure that any hazard identified had been mitigated against, this included those in relation to medicines and falls for example. We found that these had been reviewed regularly to ensure they were up to date and still relevant.

Accidents had been recorded and monitored by the registered manager. This ensured action could be taken against any risks that may have been noted and any trends would be identified quickly.

There were enough staff on duty. Due to the recent increased needs of particular people who lived at the service, the registered manager was going to fully review staffing levels by meeting with staff to discuss and completing a further dependency tool to check. A dependency tool is a document which helps providers ensure they have enough staff on duty to meet people’s needs.

People lived in a home which was clean and tidy and we saw staff following safe hygiene practices.

Further information is found in the detailed findings attached to this summary.

Inspection carried out on 1 and 3 December 2015

During a routine inspection

This unannounced inspection took place on 1 and 3 December 2015. We last inspected the service in December 2013. At that inspection we found the service was meeting all the regulations that we inspected.

Hexham Carntyne Residential Care Home provides residential care for up to 18 people, some of whom are living with dementia. At the time of our inspection there were 17 people living at the service. The service is made up of four flats with bedrooms and dining/lounge areas with the rest being individual rooms with en-suite toilet facilities.

The service had a registered manager in post. 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.

Medicines management had some areas that needed to be improved. For example, risk assessments. We discussed this with the registered manager and she sought to address these areas.

People told us they felt safe at the service. Staff were aware of their personal responsibilities to report any incidents of potential or actual abuse to the registered manager.

Accidents were reported and recorded and monitored for any trends and where action could be taken to improve areas, it was. We found emergency procedures, including fire safety were monitored.

People told us they were happy with the food and refreshments available to them. We found staff were adequately trained and received induction, supervision and appraisal from the registered manager.

People told us there were enough staff at the service to support them and we confirmed this through records and observations. The provider had employed staff safely following good recruitment procedures and ensured they remained trained and supported throughout their employment with the service.

Care Quality Commission (CQC) is required by law to monitor the operations of the Mental Capacity Act 2005 (MCA) including the Deprivation of Liberty Safeguards (DoLS), and to report on what we find. MCA is a law that protects and supports people who do not have the ability to make their own decisions and to ensure decisions are made in their ‘best interests’. It also ensures unlawful restrictions are not placed on people in care homes and hospitals. In England, the local authority authorises applications to deprive people of their liberty. We found the provider was complying with their legal requirements.

Staff at the service were extremely caring and nurturing in their approach. They provided people with a range of information and activities to help them avoid social isolation and ensured that each individual received person centred care.

People could make their own choices and any complaints were dealt with quickly.

The management team was open and honest and this culture appeared to have been passed on to the staffing team.

Audits and quality checks were in place, although the registered manager intended to review the medicines audit in light of some of the issues we had raised. From the feedback we received at the inspection, the staff team and service were well thought of.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This related to the management of medicines. You can see what action we told the provider to take at the back of the full version of this report.

Inspection carried out on 30 December 2013

During a routine inspection

During our inspection we spoke with four people who used the service, two relatives and three staff members. People told us they were happy living at Hexham Carntyne. One person said, �The home is such a lovely place, we go out together a lot, even if it�s just for a walk, I couldn�t ask for more.�

We found people were involved in decisions about their care whenever possible and their privacy and dignity was respected.

We found people�s needs were assessed and care and treatment was planned and delivered in line with their individual care plans. We observed that relationships between staff and people appeared to be good and people looked well-presented and well cared for.

We saw that the provider had a safeguarding policy in place which detailed the action to be taken should staff have concerns about care or witness a safeguarding incident.

There were enough qualified, skilled and experienced staff to meet people�s needs. One person said, �All the girls are lovely, they are always around to help us.�

Records contained accurate and appropriate information.

Inspection carried out on 9 January 2013

During a routine inspection

During our inspection we spoke with six people who used the service and three members of staff. People told us they were happy living at Hexham Carntyne. One person said, "This place to me is shangri-la, it's next to heaven."

People and staff told us that consent was gained before care was delivered.

We found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plans. One person said, "They do everything they can to be helpful, it's an absolutely super service." We found staff were knowledgeable about people's care requirements.

We saw that the building and grounds were well maintained and designed to be accessible to all people.

Appropriate checks were undertaken before staff began work.

The provider had a complaints system in place and acted on comments and complaints received. People confirmed they were given the opportunity to comment on the service, change their routines or raise complaints.

Records were not always maintained to an appropriate standard, which meant we were not able to confirm whether people's care and support needs were actually met.

Inspection carried out on 21 December 2011

During an inspection looking at part of the service

We asked people about the staff in the home. They told us that staff were kind and that they received good attention from them. People said staff attended to them promptly and they thought they were well organised as a team. One person said "staff here are lovely and we have a good leader, I think that is important".

Inspection carried out on 6 September 2011

During a routine inspection

People told us that they were encouraged to make decisions about their care and support. They said they were happy at the home and well looked after. People we spoke with said that they had access to healthcare services when they needed them. People said they enjoyed the food at the home, they confirmed that they had a choice of food and that it was always well cooked. People said they felt safe living in the home and that staff were kind and considerate towards them. They said that they felt able to raise any concerns they had and thought that they would be listened to.

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