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Harpers Villas Care Centre Inadequate

Inspection Summary

Overall summary & rating


Updated 19 February 2020

About the service

Harpers Villas Care Centre is a care home providing personal care to 26 people aged 65 and over. At the time of the inspection 17 people lived at the service. People who used the service had a range of support needs related to old age and dementia. The accommodation is organised into three floors, however the top floor was not in use at the time of the inspection.

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

People were not sufficiently protected from the risk of harm, including potential abuse, risks associated to health conditions and the behaviour of others. People did not always receive their medicines as prescribed. People told us there were not enough staff to meet their needs and our observations confirmed this.

The management of the service was inadequate as the provider did not carry out robust checks to ensure that care was being delivered safely and effectively. Audits were carried out by the management team and provider, but they had failed to ensure that people were always safe and their needs were being met. As a result, people were exposed to the risk of harm.

We received mixed feedback from people in respect of meals. Meal times were functional rather than a pleasant social experience. Guidance from healthcare professionals were not always followed to ensure people’s needs were 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; the policies and systems in the service did not support this practice.

People did not receive support that was consistently caring and respectful. Care given was task centred rather than person-centred and not all needs were met.

People had limited opportunities to be involved in meaningful activities. People and relatives felt able to make a complaint but did not always receive a satisfactory response. People’s personal wishes during their final days had not been fully explored.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was Requires Improvement (published 30 October 2018) and we identified a breach of regulation 17, good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had not been made and the provider was still in breach of regulation 17 and further breaches were also identified. The overall rating of the service has deteriorated to Inadequate.

Why we inspected

The inspection was prompted in part by notification of a specific incident. Following which a person using the service sustained a serious injury. The information CQC received about the incident indicated concerns about the management of falls. This inspection examined those risks.

We have found evidence that the provider needs to make improvements. Please see the safe section of this full report.


At this inspection we have identified breaches in relation to safe care and treatment, safeguarding, good governance and staffing. The inspection also identified breaches in relation to the provider’s failure to notify the commission when Deprivation of Liberty Safeguards (DoLS) were authorised as is required. 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: Special Measures

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 six 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 fo

Inspection areas



Updated 19 February 2020

The service was not safe.

Details are in our safe findings below.


Requires improvement

Updated 19 February 2020

The service was not always effective.

Details are in our effective findings below.


Requires improvement

Updated 19 February 2020

The service was not always caring.

Details are in our caring findings below.


Requires improvement

Updated 19 February 2020

The service was not always responsive.

Details are in our responsive findings below.



Updated 19 February 2020

The service was not well-led.

Details are in our well-led findings below.