Background to this inspection
Updated
6 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one 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.
Service and service type
Hanford Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with seven people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, a senior carer, three care staff, the activities co-ordinator, and two housekeeping staff. We also spoke with two professionals involved with the service. 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 reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
6 February 2020
About the service
Hanford Manor is a residential care home providing personal and nursing care to up to 31 people aged 65 and over. The accommodation is provided in a single building, arranged over two floors, with communal facilities including two lounges, a dining room with café area, roof terrace and secure garden. At the time of our inspection, 30 people were using the service, some of whom were living with dementia.
People’s experience of using this service and what we found
The provider’s quality assurance systems needed to be developed to ensure they were applied consistently and monitored all aspects of the service, to assure us that appropriate action was always taken.
People felt safe and were protected from the risk of harm by staff who understood their responsibilities to identify and report any signs of potential abuse. Any concerns were taken seriously, investigated thoroughly and lessons learned shared with staff to minimise the risk of reoccurrence.
Risks associated with people's care were identified and managed safely. People received their medicines as prescribed and regular reviews ensured they remained safe for them. Staff were proactive and ensured people received timely and dignified care at the end of their life.
There were enough, suitably recruited staff to meet people’s needs. Staff received training and ongoing support to meet people’s individual needs. Staff worked closely with health and social care professionals, who were positive about the care and support people received.
The registered manager and staff promoted a kind and caring, inclusive atmosphere. People told us the staff always respected their privacy and dignity and provided care in their preferred way. People were supported to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported to access activities that were inclusive and based on their interests and benefited from close links with the local community. Staff used social media appropriately to help widen people’s interests and opportunities for friendship. People had choice over their meals and were supported to access other professionals to maintain good health.
People and their relatives had no complaints but felt confident any issues raised would be resolved. There were systems in place to capture people’s views on how the service could be improved and these were acted on. Staff felt supported and valued by the management team.
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 8 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.