Background to this inspection
Updated
8 August 2019
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 two inspectors, three assistant inspectors, a specialist advisor nurse 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
Hengist field Care Centre is a ‘care home’. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we received about the service since the last inspection and contacted placing authorities. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people and seven relatives. We spoke with the registered manager, the regional manager, the nutrition and wellbeing manager, the recreation and wellbeing manager, a wellbeing co-ordinator, four nurses, one senior care assistant and four care assistants.
We reviewed care plans for ten people including risk assessments, personalised care planning, daily notes and charts. We checked five staff files and records of staff training and supervision. We reviewed records of accidents, incidents, complaints, surveys and meetings. We also looked at a variety of checks and audits.
After the inspection
We received email evidence from the provider.
Updated
8 August 2019
About the service
Hengist Field Care Centre is a residential care home providing personal and nursing care to 62 people aged 65 and over at the time of the inspection. People living at the service had long term conditions, mobility needs and some were living with dementia. The service can support up to 75 people.
Hengist Field Care Centre accommodates people across three separate floors, each of which has its own lounges, dining area and activity spaces. People received care in rooms with en-suite facilities and the service had adapted bath and shower equipment.
People’s experience of using this service and what we found
People spoke positively about the management at the service and we saw that action plans had been implemented to ensure the legal requirements of the regulations were now met. However, we found some inconsistencies in record keeping whilst improvements to recording systems were implemented. There was a vision to improve the service and we saw evidence of plans to improve the environment and documentation. Checks and audits were used to identify areas for improvement and systems involved people, relatives and staff in decisions about the service.
People told us they felt safe at Hengist Field Care Centre and staff practice reflected this. Staff responded appropriately to risks or incidents and knew how to raise safeguarding concerns. People’s medicines were managed and administered safely, by trained staff. The home was clean with regular checks to ensure the environment was safe and hygienic.
People spoke positively about the food and there had been improvements to nutrition since our last inspection. Staff were trained and nursing staff spoke positively about the support they received to stay up to date with current practice. People’s healthcare needs were met and staff supported them to access healthcare professionals. People received assessments and were 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 practice.
People said they were cared for by a kind staff team who they got on well with. Staff were committed to their roles and we made positive observations of how they interacted with people. People received dignified care and staff were respectful of their privacy. Staff supported people in a way that encouraged them to retain skills and independence.
There was technology used to enable staff to engage with people in a meaningful and personalised way and we observed instances where this achieved positive outcomes for people. There was a variety of activities for people and care plans reflected people’s interests, as well as their needs and preferences. Complaints were acted upon and responded to in line with policy.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (Report published 5 September 2018)
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.