Haddon House Nursing Home

Updated 27 February 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector and an expert by experience. 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:

Haddon House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service 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.

What we did:

Prior to the inspection visit we gathered information from a number of sources. We also looked at the information received about the service from notifications sent to the Care Quality Commission by the registered manager. We asked the provider to complete a provider information return [PIR]. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also spoke with other professionals supporting people at the service, to gain further information about the service.

We spoke with people who used the service and their relatives. We spent time observing staff interacting with people. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with nine staff including care workers, the registered manager, cook, a nurse, activity co-ordinators and the regional manager. We looked at documentation relating to three people who used the service, three staff files and information relating to the management of the service.

Updated 27 February 2019

About the service: Haddon House provides accommodation, personal and nursing care for up to 40 people. Some people using the service were living with dementia. The home is divided in to four units. The service is located in the Clowne area of Chesterfield. At the time of our inspection there were 34 people using the service.

People’s experience of using this service:

People were supported by enough staff to ensure their needs were met. Staff had time to interact with people in a positive way. People’s medicines were managed safely. Risks associated with people’s care had been identified and were managed in a way that did not restrict their freedom.

We carried out a tour of the home and found it was generally clean and well maintained. However, we identified some areas which required attention. The registered manager told us these areas were being addressed in their development plan.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People had access to healthcare professionals when required. People received a nutritious diet which met their needs and preferences. However, the mealtime experience could be improved on. Staff received training and told us they were supported by the management team.

We spent time observing staff interacting with people who used the service and found they were kind and caring. People’s relatives we spoke with commented highly of the care and support their family member received.

We looked at people’s care records and found they reflected their current needs and preferences. A range of activities were provided which gave people opportunity to access social stimulation. The service had a complaints procedure and complaints were acted on.

The home had a registered manager who conducted a range of audits in areas such as infection control, medicine management, health and safety and documentation. Actions raised as part of the audits were addressed.

More information is in the full report.

Rating at last inspection: Good (report published 12 August 2016)

Why we inspected: This was a planned comprehensive inspection based on the rating at the last inspection.