Hawthorn Manor Residential Home

Updated 14 October 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.

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

The inspection was carried out by two inspectors.

Service and service type

Hawthorn Manor 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. Hawthorn Manor 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection the manager was applying for registration and has since been registered with CQC.

Notice of inspection

This inspection was unannounced.

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 talked to nine people who lived at the home and five relatives about the care their family members received. We spoke with members of the management team including the provider, the registered manager and the deputy manager. We talked to seven staff including carers, activities and catering staff.

We spoke to four visiting professionals, looked at care records for seven people, including their care plans and risk assessments. We checked four staff recruitment files, training records, checked the arrangements for managing medicines, quality checks and audits.

Updated 14 October 2022

About the service

Hawthorn Manor Residential Home is a residential care home providing personal care to up to 37 people. The service provides support to older people, some of whom were living with dementia and frailty. At the time of our inspection there were 33 people using the service. The service accommodated people on two floors of a large building, built around an enclosed garden and an attractive inner courtyard. People had their own room with en suite facilities and call bells if required.

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

People told us they felt safe living at Hawthorn Manor Residential Home, and that staff knew how to support them. A relative of a person living with dementia told us, “(Person) is happy and content at the moment. They like being looked after and thought this was a hotel.”

People told us there were enough staff to keep them safe and they did not have to wait long for help from staff when they called on their call bells.

People received their prescribed medicines when they needed them and staff offered people any ‘as required’ medicines when administering medicines. The service was clean, well presented and during our inspection and people and their relatives confirmed this was usual for the service.

Staff were trained to do their jobs and received regular supervision and appraisal. People had enough food and drink to maintain good health and people told us a new cook had recently improved the food. People were supported to attend health appointments and maintain good health and staff were responsive to people’s changing needs.

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 were encouraged to decisions for themselves.

Staff were kind and caring and people and their relatives spoke warmly about their staff. People were supported to be as independent as they were able to be, and staff protected people’s dignity. There were activities for people to do, either in groups or one on one with an activities co-ordinator. People were supported to maintain friendships and relatives were welcomed to visit without prior appointment.

The management team consisted of a new manager, a deputy manager and a regional manager, who worked together to ensure the service delivered good care and support. The provider was known to people and regularly visited the service to audit people’s experiences and support the manager.

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 11 October 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.

Follow up

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