Background to this inspection
Updated
1 September 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector and an assistant inspector. On the second day of the inspection, an Expert by Experience made telephone calls. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service
Service and service type
Hatt House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return prior to this inspection. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report.
During the inspection-
We spoke with two people who used the service and 12 relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, head of care, senior care workers, care workers and the cook.
We reviewed a range of records. This included six people's care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
1 September 2021
About the service
Hatt House is a residential care home providing personal and nursing care to 21 people aged 65 and over at the time of the inspection. The service can support up to 24 people.
People’s experience of using this service and what we found
At the last inspection in January 2021 we found people were not always protected from the spread of infection. During this inspection we found safe infection prevention and control systems and processes in place.
People were protected from the risk of abuse because staff understood how to identify and report concerns.
People and their relatives spoke positively about the staff at the service, describing them as kind and caring. Staff treated people with dignity, respect and treated them as individuals. Where able, people were supported to maintain their independence. Staff knew the people they were supporting well.
People were supported by staff who knew how to manage risks to keep people safe. Staff were safely recruited and there were enough staff available to support people. Medicines were given in a safe way.
People received support by appropriately trained staff. Training provided to staff was individual to the needs of the people they supported. Staff were well supported and received the supervision they needed.
People were happy with the meals they were provided with and had access to healthcare services where required.
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.
People's care was responsive to their needs, choices and preferences. Each person had a personalised care plan.
The service was well led and had an open culture which encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service, and it was used to drive improvement.
Quality assurance audits were carried out to identify any shortfalls within the service and how the service could improve.
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
This service was registered with us on 02/12/2019 under the new provider.
We received information of concern and carried out a targeted inspection in January 2021 where we found a breach of regulation. The service was not given a rating at this time.
This inspection is the services’ first rated inspection and we covered all Key Lines of Enquiry.
The last rating for the service under the previous provider was good, published on 29 April 2019.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection and rate an unrated service.
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 COVID-19 and other infection outbreaks effectively.
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.