Hutton Manor Care Home

Updated 2 February 2023

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 Health and Social Care Act 2008.

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 4 inspectors, 1 medicines inspector and an Expert by Experience carried out this inspection. 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

Hutton Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hutton Manor is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, local safeguarding team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We reviewed a range of records. This included 10 people's care records and extracts from others. We looked at 3 staff files in relation to recruitment, training and supervision. We viewed a variety of records relating to the management of the service, including records relating to accidents, incidents and safeguarding. We also reviewed a range of policies and procedures.

We spoke with the area manager, registered manager, 2 deputy managers and 7 members of care and ancillary staff. We spoke with 7 people who used the service and 9 relatives and a person who holds power of attorney for a person, to better understand their experience of care provided at the service. A power of attorney gives legal power to one or more people, ‘attorneys’, to help people make decisions or make decisions on their behalf.

Updated 2 February 2023

About the service

Hutton Manor Care Home is a residential care home providing personal care for to up to 86 people. The service provides support to older and younger people, people living with dementia, people with sensory and physical disabilities and other health related support and care needs. Hutton Manor Care Home accommodates people across three separate floors. The first floor area specialises in providing care to people living with dementia. At the time of our inspection there were 64 people using the service.

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

Care plans were person centred and detailed. Whilst records showed they were reviewed; they were not always accurate and not updated in all areas. There were inconsistencies in some care plans and we were not assured preadmission assessment were used to develop them. Risk assessments were insufficiently detailed to guide staff on how to keep people safe. We were not always assured people had been involved in the development of care plans and risk assessments. However, people told us they felt safe.

We saw evidence and staff told us they had induction and training to enable them to do the job. The necessary consent and assessments were not always carried out where people’s liberties had been deprived.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

We saw evidence of the provider’s planning of person centred, care and support. We saw evidence of regular audits to ensure the quality and safety of the service. However, audits did not appear to have highlighted and address inconsistencies we found.

One person had detailed cultural and communication care plans. However, we were not assured staff ensured the person had social stimulation and mitigated isolation. We have made a recommendation the provider consider current guidance on person centred care and take action to update their practice accordingly.

We saw many examples of staff being kind and thoughtful with people. Staff promoted peoples’ independence in a number of ways. People and relatives told us staff were caring and respectful. One person told us, “The staff are respectful and exceptionally kind to me.”

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

Rating at last inspection

This service was registered with us on 10 January 2020 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

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 request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.