We carried out a review of the data available to us about Homefield House Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Homefield House Nursing Home, you can give feedback on this service.
Homefield House Nursing Home is a nursing home providing personal and nursing care to 22 people aged 65 and over at the time of the inspection. The service can support up to 24 people. Most people living in the home were living with dementia.
The home provides care for people in one purpose-built building which is split into four areas. Each area has its own kitchenette, dining and lounge area connected to six bedrooms. Each area is connected to a main ‘street’ which has natural light, mock shop fronts and a bus stop.
People’s experience of using this service and what we found
We were assured that infection control measures in place reduced the risks to people from COVID-19. There were robust measures in place to ensure staff had appropriate training and access to personal protective equipment (PPE). Staff and people were being tested regularly for COVID-19 and the service had procedures in place for managing isolation or an outbreak of the infection.
There was no registered manager in post at the time of the inspection, however the deputy manager was acting-up in the interim with additional support from the provider. The provider was actively recruiting to the vacancy.
The provider had an audit schedule and oversight of quality and safety in the home. Actions from audits were automatically pulled to a service improvement plan. The senior managers in the provider had oversight of the audits being completed and of actions required. The service improvement plan required updating, which the nominated individual advised would be done and sent to CQC when completed.
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 (27 September 2019).
Why we inspected
We undertook this targeted inspection to follow up on specific risks we had identified related to the service. We decided to inspect and examine those risks. The risks included: the registered manager leaving the service and concerns raised relating to manual handling.
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 concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
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.
The overall rating for the service has not changed following this targeted inspection and remains good.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Homefield House is a residential care home providing nursing and personal care to 23 people at the time of the inspection. The service can support up to 24 people. The care home accommodates people in one large single storey building with four distinct areas, two of which were for people living with more significant nursing needs.
People’s experience of using this service and what we found
People and relatives told us the service was safe. Staff understood signs of possible abuse and the safeguarding procedures to follow. Risks to people were assessed and known by staff.
People were supported by staff who had undergone appropriate recruitment checks. Medicines were administered appropriately. Incidents and accidents were thoroughly investigated.
People and relatives told us that staff were effective. People experienced good outcomes because staff were skilled and involved the appropriate healthcare professionals. Staff experienced effective
support by senior staff and the registered manager, this enabled them to provide good quality, effective care. People's hydration and nutritional needs were met.
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.
Staff provided caring and compassionate support in a warm and welcoming environment. One relative told us, “[The home is] very homely, relaxed, friendly.” People were encouraged to remain as independent in their daily activities as possible. People and relatives confirmed to us that they were always treated with dignity and respect.
People's needs were holistically assessed and met by the care provided. The provider was in the process of improving the care records to be more concise and contain more information about people’s histories and interests. The service was not providing any end of life care at the time of the inspection but had appropriate support plans in place with people’s wishes. Complaints were well managed and responded to appropriately.
We received positive feedback about the management of the service. The registered manager promoted an open and honest culture within the service and understood their regulatory responsibilities. There were appropriate systems in place to monitor and improve the service. People, relatives and staff were involved in the development of the service appropriately.
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 July 2017). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection following the change in the provider’s registration.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.