• Care Home
  • Care home

Archived: Hulton Care Nursing Home (Nelson)

Overall: Good read more about inspection ratings

Halifax Road, Nelson, Lancashire, BB9 0EL (01282) 617773

Provided and run by:
HC-One Limited

Important: The provider of this service changed. See new profile

All Inspections

1 and 2 April 2015

During a routine inspection

We carried out an inspection of Hulton Care Nursing Home (Nelson) on 1 and 2 April 2015. The first day of the inspection was unannounced.

We last inspected this home 10 February 2014 and found the service was meeting the regulations in force at that time. During this inspection we made a recommendation about the implementation and use of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

Hulton Care Nursing Home (Nelson) is registered to provide accommodation and personal care for up to 30 older people. Accommodation is provided in 30 single bedrooms, all of which have an ensuite facility. There is a separate unit to care for older people living with a dementia. At the time of the inspection there were 25 people accommodated in the home. The home does not provide nursing care.

A manager was in post and they had begun the process to register with the commission. 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.

People told us they felt safe and were well cared for in the home. Staff knew about safeguarding and we saw concerns had been dealt with appropriately, which helped to keep people safe.

We found the arrangements for managing people’s medicines were safe. We found accurate records and appropriate processes were in place for the storage, receipt, administration and disposal of medicines.

We found staff recruitment checks had been completed before a member of staff started to work in the home. Staff had completed relevant training for their role and they were well supported by the management team. There were a sufficient number of staff on duty to meet people’s needs.

Staff were aware of people’s nutritional needs and made sure they supported people to have a healthy diet, with choices of a good variety of food and drink. People could help themselves to any item from the snack trays at any time they wished.

All people spoken with told us the staff were caring, compassionate and kind. We saw that staff were respectful and made sure people’s privacy and dignity were maintained.

All people had a care plan which covered their needs and any personal preferences. We saw the plans had been reviewed and updated at regular intervals. This meant staff had up to date information about people’s needs and wishes.

We saw there was a system of audits in place to monitor the quality of the service and people and staff were given opportunities to express their views and provide feedback on the service.

10 February 2014

During an inspection looking at part of the service

We carried out this inspection to follow up progress on compliance actions identified at our last inspection on 5 and 7 October 2013. The provider sent us a detailed action plan and stated the service would be compliant by 31 December 2013. On this inspection we found the necessary improvements had been made.

We spoke to nine people living in the home and all expressed their satisfaction with the service provided. One person told us, 'It's very nice' and another person commented, 'I have no complaints. Everything is fine'.

People's care and support was planned and delivered in accordance with their needs. People had individual support plans which were underpinned by a series of risk assessments. All care plans had been audited on a regular basis to ensure they contained up to date information.

A new system to manage medication had been implemented which was based on paper records. Policies and procedures were in place for the operation of the new system and all staff designated to administer medication had completed appropriate training.

The provider had notified the commission as necessary in line with the current regulations.

5, 7 October 2013

During an inspection in response to concerns

We carried out this inspection in response to concerning information received by the commission and to follow up on a previous compliance action identified at the last inspection. We visited the home on Saturday 5 October and again on Monday 7 October 2013.

We spoke to eight people using the service and found they had mixed views about the care they experienced. One person told us, 'I don't feel cared for', however another person commented 'They certainly look after you, it's nice here'. We looked at people's care plan documentation and found that each person had an individual care plan. However, people had not always been involved in care plan reviews and some sections of the plans had not been fully completed. This meant staff lacked up to date guidance about people's current needs and wishes.

We found improvements were needed in respect of the management of medication. On the day of our visit one person's records were inaccurate and a prescribed topical preparation for another person was not available on the premises. According to the person's medication administration records this had not been applied for over two months.

At our last inspection staff were not provided with appropriate supervision, however we noted on this visit that staff had received a supervision with the manager. All staff had completed their mandatory training.

We received information from social services about two incidents in the home which should have been notified to the commission without delay. We received the notifications on request and sometime after the incidents took place. It is a requirement for all registered persons to notify us in line with current legislation.

3 June 2013

During a routine inspection

During our inspection we spoke with seven people living in the home. We found people were satisfied with the service provided, one person told us, 'It's fine, I have no complaints' and another person said the home was 'very nice'.

People's care was planned and delivered in accordance with their needs. People had individual care plans which were supported by a series of risk assessments and daily care records.

People were satisfied with the food provided. There was a choice of meals and people confirmed the food was of a good quality and there was always plenty to eat. Drinks and snacks were served throughout the day or on request.

Staff were provided with appropriate training which was relevant to their role and they were invited to attend staff meetings. However, we found staff had not received an individual supervision for sometime. These are important to ensure staff are well supported in their role.

There were systems in place to monitor and assess the quality of the service, which included gathering the views of people living in the home and their relatives.

15 October 2012

During an inspection looking at part of the service

During our last inspection of the service on 21 May 2012, we found issues resulting in non compliance with outcome 4 (Care and welfare of people using the service) and outcome 9 (Medication). We therefore carried out this inspection to check the progress made to achieve compliance.

On this inspection the provider was compliant with both outcomes assessed.

People were satisfied with the care provided one person told us, 'I'm happy here and I wouldn't want to go anywhere else'. People's care was planned and delivered in accordance with their needs. People had detailed individual care plans which were supported by a series of risk assessments. We also found there was clear written guidance for staff on how to move people safely.

We noted suitable arrangements were in place to handle and manage medication. All records looked at were complete and up to date and detailed checks were carried out on a monthly basis to ensure medication was handled correctly and safely.

21 May 2012

During a routine inspection

People spoken with had mixed views about the service; some people were satisfied and told us the staff were 'kind and thoughtful' but other people said they sometimes had to wait a while before staff assisted them. People were given the opportunity to express their views at residents' meetings and were able to complete an annual customer satisfaction questionnaire.

With the exception of one person, people could not recall discussing their care needs with staff. We carried out observations of care delivered on Nelson unit and found staff did not always interact with people to stimulate conversation.

Staff confirmed they had received training on the protection of vulnerable adults and had access to safeguarding policies and procedures, including information published by the local authority.

Whilst suitable arrangements were in place for medication, we found staff were not always applying a prescribed cream, which caused the person discomfort.

There were sufficient staff on duty on the day of inspection. We saw records to demonstrate that staff were provided with a wide range of training opportunities and were able to attend staff meetings.

People told us they were aware of the home's complaints procedure, which was included in the service user's guide. The manager made a record of complaints and concerns and any action taken.