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Houndswood House Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 November 2019

About the service

Houndswood House Care Home is a residential care home providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The service can support up to 50 people.

Houndswood House Care Home accommodates up to 50 people across two units, both of which has separate facilities and adjoining communal areas.

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

People told us they felt safe and happy living at the service. However, two relatives raised concerns regarding the actions of specific members of staff. A safeguarding referral was made following the inspection in relation to these concerns. The registered manager took action to mitigate the potential risks posed to people whilst an investigation is completed.

There were several shortfalls and inconsistencies in the completion of the records used to record incidents, accidents and falls. This meant that all events had not been included in the reviews of risks to people's health, safety and wellbeing. Pressure relieving mattresses were found to be incorrectly set for people’s recorded weights and repositioning of people at high risk of pressure damage was not completed in accordance with care plans and risk assessments.

Processes followed to recruit new staff were not always fully completed. Staff files lacked information to demonstrate references provided had been checked and verified and reasons for leaving previous employment explored.

Checks and audits had been completed on all aspects of the service. However, these audits were not effective and did not identify the shortfalls found at this inspection. The quality assurance report submitted to the provider contained inaccurate information and was inconsistent with the findings of this inspection. This meant that appropriate action may not be taken to address any shortfalls or drive improvements at the service.

There was a consistent number of staff on duty. People received care in a timely manner and staff were attentive and able to respond promptly to requests from people. Medicines were being managed well and staff followed good infection control practices.

People and relatives felt the service was well-led. They knew who the registered manager was and said they were approachable, supportive and responsive to their needs. The registered manager and staff were responsive to suggestions and observations made during the inspection to improve practice. Staff received regular support for their role to ensure they had up to date knowledge for their role and felt involved in the development of the service. Regular meetings were held for people, relatives and staff.

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

Rating at last inspection

The last rating for this service was Good (published 20 January 2018).

Why we inspected

We received concerns in relation to the management of incidents and accidents and people’s safety. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

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

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We may meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will 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 9 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 9 November 2019

Caring

Good

Updated 9 November 2019

Responsive

Good

Updated 9 November 2019

Well-led

Requires improvement

Updated 9 November 2019

The service was not always well-led.

Details are in our well-Led findings below.