You are here

Archived: Hungerford Care Home Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 19 November 2015

This inspection took place on 29 and 30 September 2015 and was unannounced. This was a comprehensive inspection which included follow-up of progress on the non-compliance identified in the report of the previous inspection on 17 October 2014.

At the previous comprehensive inspection we identified non-compliance against Regulations 9 (Care and welfare of service users), 10 (Assessing and monitoring the quality of service provision), 12 (Cleanliness and infection control), 17 (Respecting and involving service users) and 23 (Supporting workers) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

From April 2015, the 2010 Regulations were superseded by the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found that the provider was meeting the requirements of the comparable current regulations. Regulations 9 (Person-centred care), 17 (Good governance), 12 (Safe care and treatment), 10 (Dignity and respect) and 18 (Staffing).

We found that the service had taken action to address the previous concerns although further improvements were needed. A number of new initiatives had yet to become established to ensure the changes are sustained.

Hungerford Care Home is a residential home with nursing that offers a service for up to 59 older people. Some people are living with varying types and degrees of dementia.

A new manager had been in post since May 2015 who became registered manager on 25 September 2015. 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.

The new registered manager had identified key areas where improvement was needed and had taken action to address these. A number of new systems and monitoring processes had been established to oversee the quality of the service. The premises were undergoing a complete redecoration programme including the provision of new furnishings. People had been involved in choosing the décor and furniture.

People were happy with the care they received and told us staff were kind and respectful. We saw staff were enthusiastic and engaged positively with people. People were offered choices and given time to make them.

The level and range of activities had been improved and more individual activities were provided.

People’s health and nutritional needs were met and the service consulted and worked effectively with external healthcare agencies. Advice and guidance from the local authority and the health authority care home support team had been taken and acted upon.

The service had recently been given a new brand name, “Brighterkind”. As part of this process, new initiatives on catering, activities and healthcare were being introduced to improve the care people received.

Inspection areas

Safe

Good

Updated 19 November 2015

The service is safe.

Improvements had been made to the environment, staff training in infection control and monitoring to ensure that hygiene standards were maintained.

Staffing levels and their deployment met people’s needs. Staff understood how to keep people safe and people felt safe.

People’s medicines were managed safely by staff although there were one or two areas that need improvement.

Effective

Requires improvement

Updated 19 November 2015

The service is generally effective.

Some further improvements were needed and new systems needed to become established to ensure that improvements were maintained.

A programme of training had been put in place to address gaps in training and ensure all staff received the training needed to meet people’s needs.

People were happy that staff met their needs. Staff knew people’s individual needs and effective communication systems supported care continuity. People’s rights were protected.

People’s health and dietary needs were managed well. The environment was being improved through a thorough refurbishment programme.

Caring

Good

Updated 19 November 2015

The service is caring.

People were happy that staff were caring, treated them with respect and looked after their dignity and privacy.

Staff worked calmly and patiently with people and enabled them to make decisions and choices.

Responsive

Good

Updated 19 November 2015

The service is responsive.

People felt staff were attentive and met their needs.

The care plan format was about to be changed to further improve care records and the level of people’s involvement. The frequency of review of people’s needs had increased?

The activities programme had been improved and further changes were planned.

People’s complaints had been addressed appropriately.

Well-led

Good

Updated 19 November 2015

The service is well led.

The new registered manager had identified a range of priorities and had begun to address these to develop and improve the service.

Monitoring systems were effective in identifying issues, which were then acted upon.

The service worked well with other agencies and sought to develop and improve the care they offered. New care initiatives were being introduced.