• Care Home
  • Care home

Hawthorns Residential Home

Overall: Good read more about inspection ratings

8 High Street, Loftus, Cleveland, TS13 4HW (01287) 641508

Provided and run by:
The Hawthorns Lodge Limited

Latest inspection summary

On this page

Background to this inspection

Updated 21 July 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

This inspection was conducted by 1 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. The Expert by Experience made telephone calls to relatives following the inspection site visit to gather views on the service provided.

Service and service type

Hawthorns Residential Home 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. Hawthorns Residential Home 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.

Inspection activity started on 22 June 2023 and ended on 28 June 2023. We visited the service on 22 June 2023.

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 and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed a range of records. This included 2 people’s care records and multiple medication records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were also reviewed.

We spoke with 4 people who used the service about their experience of the care provided. We spoke with 5 members of staff including the registered manager, governance manager, deputy manager and care staff. We also spent time observing staff interactions with people, observation of medicine administration and conducted a tour of the service.

Following the inspection site visit, we contacted and received feedback from 4 relatives and 3 staff.

Overall inspection

Good

Updated 21 July 2023

About the service

Hawthorns Residential Home is a residential care home providing personal care to up to 15 people, some of whom may be living with a dementia, in one adapted building. At the time of our inspection there were 8 people using the service.

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

People told us they felt safe living at Hawthorns Residential Home. Staff were aware of how to respond and report any safeguarding concerns and were confident this would be dealt with appropriately by the registered manager.

Medicines were managed safely, and people told us they received their medicines as prescribed. Risks to people were assessed and recorded although some records lack person-centred information.

The home was clean and tidy throughout. Some areas of the service were old and worn. A detailed refurbishment plan was not in place. We have made a recommendation about this.

There was enough staff on duty to meet people’s care and support needs. A dependency tool was used to calculate safe staffing levels. Some relatives and staff reported concerns over staffing levels when the number of people living at the service increased. The registered manager assured us staffing levels were regularly reviewed and amended to ensure people’s needs were met.

Audits were used to monitor the quality and safety of the service. Action was taken when shortfalls were found. People, relatives and staff spoke positively of the management team and said they were able to provide feedback on the service provided.

Strong relationships had been built with other professionals to ensure people had access to the support they 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.

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

Rating at last inspection

The last rating for this service was good (published 21 November 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this 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.

We undertook this focused inspection to review the key questions of Safe and Well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

Enforcement and Recommendations

We have made a recommendation that the provider implements a robust refurbishment plan to ensure the service is safe and well-maintained.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.