- Care home
Hafod Nursing Home
Assessment report published 8 October 2025
Contents
Ratings
Our view of the service
Date of Assessment: 30 June 2025 to 10 July 2025. The assessment was prompted by reviewing information we held about the service to assess if improvements had been made following enforcement action we had taken at our previous assessment. Hafod Nursing Home is a care home, providing nursing and personal care for up to 29 adults, many living with dementia or complex mental health needs. At the time of our assessment there were 25 people living at the service.
We found since our last inspection the service had made some improvements in regard to the staffing, medicines management but some additional monitoring was required. We found there had also been improvements noted within the environment, but further improvements were still required. However, we found continued beaches relating to safety of care, the premises and equipment and governance.
Whilst there had been improvements made to the guidance available to staff, we found there was still improvement required to ensure staff had sufficient guidance and knowledge to support some people safely. Improvements had been carried out in relation to the environment, but we found this was not always maintained to a safe and hygienic standard. We found the safety and on-going maintenance of the premises still required improvement due to the lack of timely actions by the provider. Following our last assessment in November 2024 the provider had engaged with a consultant in March 2025 to improve their shortfalls in the provider-led systems in place to monitor the quality of the care provided, which had failed to identify many of the issues highlighted during the assessment. Whilst improvements had been made these systems had only recently been implemented and needed time to be embedded. We could not fully assess the long-term effectiveness of these to drive improvements at the service. The systems to ensure care was provided safely and appropriately were not always robust in identifying the shortfalls in the service we found at this assessment. We found improvements in the training and support that were offered by the provider to ensure staff had the correct knowledge and skills to support people.
CQC has decided to request actions plans from the provider to demonstrate how they will become fully compliant to meet their legal requirements in relation to the ongoing breaches of regulations 12 safe care and treatment, 15 premises and equipment and 17 good governance.
People's experience of this service
Most people receiving support and relatives told us they felt the care staff provided was safe and people spoke positively about the staff who supported them. Most people and relatives felt they were kept informed; however, some relatives continued to feel communication with staff and management could be improved. People and relatives told us they knew how to make complaints about the service. Most relatives felt the registered manager had responded quickly to any concerns raised with them and were happy with the outcome, although 1 relative told us they had never met the registered manager. One person and 4 relatives continued to tell us they were not always involved in the development or review of support plans. Most people told us they were aware of their support plans. People and their relatives told us they were generally happy with the standard of care they were receiving from the service and were happy that improvements to the environment had been made since our last assessment.
The short observational framework for inspection (SOFI) was used to carryout observations of how staff interacted and engaged with people using the service during the assessment. During this observation inspectors saw positive interactions.