Hartcliffe Nursing Home

Updated 21 September 2022

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.

Inspection team

The inspection was carried out by one Inspector.

Service and service type

Hartcliffe Nursing Home is a nursing 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.

Registered manager

The home had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

Before the inspection we reviewed all of the information available to us, including any information of concern, notifications and the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with the registered manager, deputy, four staff and five people who lived at the home. We observed how staff interacted with people. We considered all this information to help us to make a judgement about the home. We looked at a range of records relating to the management of the home. This included training records, people’s care records, meeting minutes and quality assurance records.

Updated 21 September 2022

Hartcliffe Nursing Home provides personal and nursing care for up to 66 people. At the time of the inspection, 50 people were living at the home.

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

There had been improvements made following the inspection of 30 and 31 May 2018. Food and fluid charts were fully completed along with positional charts. Where people had refused food and fluid this was clearly recorded. The amount of food and drink consumed was recorded by staff. The registered manager told us about some recent shortfalls identified during the CQC Dynamic Monitoring Activity which took place on 10 August 2022. The shortfalls were in relation to the recordings on food, fluid and positional charts. Since then audits of these records were taking place daily by the registered manager and deputy. Staff were being retrained in how to fill out the records fully. Audits helped to address any shortfalls within the home.

Staff received regular support to help them carry out their role. The annual training programme equipped staff with essential skills and knowledge. Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. 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.

Staff were enthusiastic and happy in their work. The staff told us they felt supported within their roles. Staff described working together as a team, they provided person-centred care and helped people to achieve their potential.

Rating at last inspection

The last rating for this home was rated Good (published 27 March 2021). At a previous inspection carried out 30 and 31 May 2018, we rated the home requires improvement in the key question ‘effective’. We found further improvements needed to be made to people’s food and fluid records. Monitoring charts had not been fully completed. At this inspection we found improvements had been made.

Why we inspected

On the 10 August 2022 we carried out a direct monitoring activity (DMA) with the registered manager. Some shortfalls were identified in relation to people’s food and fluid charts, nutrition and the timings recorded on positional charts. This inspection was to follow up on the shortfalls we identified.

During this inspection we followed up on the outstanding improvements from the inspection carried out on the 30 and 31 May 2018.

The provider completed an action plan after this inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the home has remained good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hartcliffe Nursing Home on our website at www.cqc.org.uk