Background to this inspection
Updated
12 April 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We received information of concern about infection prevention and control measures, visiting arrangements and staffing at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 11 January 2022 and was unannounced.
Updated
12 April 2022
About the service
Hall Park is a care home providing personal care for up to 62 people. There were 32 people living at the home at the time of our inspection. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
People’s experience of using this service and what we found
Staffing levels were not adequate to effectively support people. People were not always kept safe due to the lack of suitably trained staff.
Risks were not always managed and monitored. Risk assessments were in place but there were not enough staff to mitigate risk.
Management and leadership were not consistent. Changes in management were frequent and people lacked confidence in management.
People and their relatives were not engaged with in a meaningful way. There was no consistency in managers approach to people.
Management were not always open and honest with people and their relatives which had led to a lack of confidence in approaching management.
People were not always supported to have maximum choice and control of their lives, staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practise.
Medicines were managed and monitored well. Records were clear and staff had been trained and assessed in giving medication to people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (Published 1 February 2019)
Why we inspected
We received concerns in relation to the management of falls. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 effective.
You can see what action we have asked the provider to take at the end of this report.
The overall rating for the service has changed from good to requires improvement. 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 Hall Park on our website at www.cqc.org.uk.
We have identified breaches in relation to safe care and treatment, good governance and staffing levels at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.