Archived: Hampton Grange Nursing Home

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at.

If you want to see the evidence that supports our summary please read the full report.

This is a summary of what we found:

Is the service safe?

People we spoke with told us that they felt their relatives were safe living at the home and their needs were met by staff that knew them. One staff member also told us that they felt people were safe and their needs were met.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. We found that DoLS assessments for some people had been reviewed and there were proper policies and procedures in place. Relevant staff had been trained to understand when an application should be made and how to submit one.

Is the service effective?

We observed that people received appropriate care to meet their physical needs and maintain their comfort. All of the staff we spoke with told us about the individual needs of the people that used the service. People did not have to wait for help or support with their health care. This meant that people's needs could be met more effectively.

Is the service caring?

We observed that staff were kind and polite. We found that staff treated the people that lived there with dignity and respect. All the staff we spoke with were able to tell us about people's individual likes and dislikes. People's wishes had been respected. We saw where one person indicated they wanted to have their food in a particular area of the home and staff respected this.

Is the service responsive?

We found that the care records showed that people that lived at the home saw other professionals including physiotherapy, speech and language therapists and doctors when their health needs changed. The provider had acted appropriately to guidance from other professionals when people's needs changed. Relatives told us that they felt if people's needs changed the staff were always quick to respond and contact other professionals so that people's needs could continue to be met safely.

We found that there was an effective system in place to ensure that risks were identified and actioned appropriately. During this inspection we found that improvements had been made. The procedure had been improved and there were now further checks by the registered manager and clear actions had been taken when risks or improvements had been identified.

We found that there was a complaints system in place that ensured that people were listened to. We also saw that the provider encouraged feedback from families so that any concerns or comments could be actioned appropriately.

Is the service well led?

The provider had systems in place to effectively monitor the quality of the service. Regular audits and clear action plans showed that the provider had taken steps to ensure that the quality of the service was constantly being monitored and improved.

We found that staff felt that the management of the home was positive, and staff told us that they felt supported in their roles.

People's needs were assessed and care and treatment was planned and delivered in line with their individual needs. The standard of record keeping in the home was good. This meant that people were protected from the risks of unsafe or inappropriate care and treatment.

There was a system in place for assessing and monitoring the quality of the service. This ensured people received a service which was of high quality and met their needs.

We also needed to check that the provider had made improvements following our inspection in August 2012. We did this on 3 January 2013. During both visits we noted the staffing arrangements. This was because we had received information that there were sometimes not enough staff on duty.

We found no evidence at either visit that people were being woken or got up at an unreasonably early time. There were sufficient staff on duty during both of our visits. The relatives we spoke with told us that staff always came quickly when their parent used the call bell.

We spoke with four people who lived at the home and with a person's family. One person told us, 'they look after me so well here'. Another person said that they had never had any concerns and were 'very happy here'. We spoke with a health professional who gave us positive information about the home and how staff worked with them.

The care records contained clear information about people's care needs and showed that the staff arranged the health care people needed. Medicines were safely stored and the records were well maintained.

The manager and staff had worked hard to put right the concerns that we found in August 2012.