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The Hawthorns Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 December 2020

About the service

The Hawthorns is a residential care home providing personal care to 17 people aged 65 and over at the time of the inspection. The service can support up to 39 people. Most of the people living at the service had age related conditions, some of whom were also living with dementia.

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

People and their relatives were very positive about the care and support they received. They told us improvements had been made at the home since the current manager had been in post. The management team had engaged and were focused on developing the culture of person-centred care. Communication throughout the home had improved.

Systems were now in place to monitor the quality and safety of care people received. Quality audits had been implemented and were carried out to identify and act on any shortfalls in the service. These required ongoing development to demonstrate actions had always been completed and addressed. The management were responsive to any feedback given during the inspection and took action straight away.

We looked at infection prevention and control measures under the Safe key question. Overall, we were assured that people were being kept safe. We have also signposted the provider to resources to develop their approach. This relates to aspects of the cleanliness of the environment and equipment, along with the use of personal protective equipment (PPE).

Improvements had been made in relation to the safe administration of medicines. Care records had greatly improved and any potential risks to people were now being assessed. Feedback from health colleagues confirmed positive changes in responding to people’s changing health needs.

People were supported by enough staff to meet their needs, staffing levels were kept under review. New staff had been recruited and were now recruited safely. There had been a focus on staff training and new staff were undertaking an induction. There was ongoing recruitment and further plans to roll out staff appraisals.

Systems were in place to safeguard people from the risk of abuse. People told us they felt comfortable and safe living at the home. However, one person raised a concern about the approach of one staff member which was dealt with appropriately when raised with the registered manager.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Mental capacity assessments and best interest decisions could be developed further to ensure assessments considered each specific decision being made.

The management team acknowledged that improvements were ongoing. They had worked hard on making improvements, also working within a Covid-19 pandemic, which had created new challenges. The positive changes now need to be sustained and fully embedded.

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

Rating at last inspection and update: The last rating for this service was inadequate (published 4 April 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 3 April 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned focused inspection based on the previous rating and to examine any risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no co

Inspection areas

Safe

Requires improvement

Updated 5 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 5 December 2020

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 5 December 2020

Responsive

Requires improvement

Updated 5 December 2020

Well-led

Requires improvement

Updated 5 December 2020

The service was not always well-led.

Details are in our well-Led findings below.