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The Harefield Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 September 2020

About the service

The Harefield Care Home offers accommodation and personal or nursing care for up to 40 people, some of whom are living with dementia. The accommodation is provided in two ground floor units in a purpose-built building. There were 25 people using the service at the time of our inspection. The service is part of HC-One Oval Limited, a large organisation which operates over 300 care homes across the United Kingdom.

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

Although improvements had been made in the way the service was run, and there were more effective quality monitoring systems in place, further improvements were required. Monitoring systems had not identified that some records were still not written in a person-centred or effective way, and the management had failed to take prompt action about a safety concern.

At this inspection enough improvement had not been made and the provider was still in breach of regulations.

There were systems and processes in place to protect people from the risk of harm. There were enough staff to meet people’s needs. Covid-19 risk assessments were also in place for each person using the service to minimise risks associated with the infection.

People were supported by staff who were suitably trained, supervised and appraised. Staff told us they felt supported in their role.

People’s records about personal safety checks such as repositioning charts and pressure mattress checks were completed appropriately and as stated in their care plans.

People and relatives told us the staff met their needs and they felt listened to. They were offered a range of activities of their choice and staff knew how to communicate with them.

The provider had appropriate arrangements for visiting to help prevent the spread of Covid 19. Visitors had their temperature taken before being allowed to enter the home. They were supported to wear a face covering when visiting, and wash hands before and after mask use. There was sanitizing gel available at the entrance of the home and visitors were requested to use this.

The provider had appropriate arrangements to test people and staff for Covid 19 and was following

government guidance on testing. All staff received appropriate training on Covid 19, infection control and the use of PPE.

There were two designated infection control champions who monitored and carried out regular checks and audits to help ensure staff followed the correct guidelines. Staff were provided with support when they became unwell and when they returned to work.

The provider ensured that people using the service could maintain contact with family members and friends. People were supported to have visits from their relatives and friends in designated areas where social distancing was observed. They also used technology so people could see and communicate with their loved ones.

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

Rating at last inspection

The rating for the service at the last inspection was requires improvement. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

Why we inspected

We undertook this targeted inspection to check on a specific concern we had about the safety of the environment and the leadership at the service.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. We found no evidence during this inspection that people were at risk of harm from these concerns.

Please see the safe, effective, responsive and well-led sections of this full report. You can read the report from our last comprehensive inspection, by selecting

Inspection areas

Safe

Good

Updated 9 September 2020

Inspected not rated

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Requires improvement

Updated 9 September 2020

Inspected not rated

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Caring

Good

Updated 9 September 2020

Responsive

Requires improvement

Updated 9 September 2020

Inspected not rated

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Well-led

Requires improvement

Updated 9 September 2020

Inspected not rated

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.