Hartshill Care Home

Updated 24 August 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

Three inspectors and a specialist nurse advisor completed this inspection.

Service and service type

Hartshill Care 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. Hartshill Care Home is a care home with 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

The inspection was unannounced.

What we did before 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 sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with 6 people and 4 relatives/visitors about their experience of the care provided. We 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 12 members of staff including the registered manager, a newly recruited manager, a nurse, a nursing assistant, care assistants, a kitchen assistant, a member of the housekeeping team, the activities co-ordinator and an administrator. We also spoke with a director from the provider company and 2 external healthcare professionals.

We reviewed a range of records. This included 5 people's care records in full and specific aspects of 2 other care plans. We looked at multiple medicine records and 3 staff files in relation to recruitment. A variety of records relating to the management of the service were also reviewed.

Updated 24 August 2023

About the service

Hartshill Care Home is a residential care home providing personal and nursing care to 18 people at the time of our inspection. The service can support up to 67 people. The home is split into 4 units, only 2 of which were open when we visited. The provider told us the remaining 2 units would remain closed until further work had been completed to ensure they met required environmental and safety standards.

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

There were enough staff to ensure people's needs were consistently met in a safe way. Risks were identified and care plans provided staff with information to mitigate those risks. Staff understood their responsibility to keep people safe and record and report any concerns. Medicines management and infection control practices supported people’s health.

People’s needs were assessed to ensure the service could meet their individual needs safely. Staff received training and guidance so they could provide effective support to people. People were encouraged to have enough to eat and drink so they would remain well. Staff regularly monitored people's health and any concerns were promptly referred to external health professionals.

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.

People spoke positively about the friendliness and care shown by staff and felt listened to and able to share their views. People were supported to maintain and regain their independence where possible. Staff practices promoted people’s privacy and dignity.

Staff had a good understanding of people's care preferences and were available to respond to people’s requests for support. Staff considered people's communication needs when assessing their needs and planning their care. A dedicated member of staff supported people to engage in activities of interest to them. Friendships and family relationships were promoted within the home.

The provider acknowledged the home was only supporting a small number of people at the time of our inspection and described a phased approach to opening the home. This was to ensure policies, procedures and effective risk management were embedded within staff practice. The staff team spoke positively of the support they received from the provider, managers and the wider staff team. Learning was taken and shared from any complaints and adverse incidents to improve standards of care and ensure people achieved positive outcomes.

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 November 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service and to provide a first rating for the service.

Follow up

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