10-12 Hainsworth Park

Updated 22 December 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.

Inspection team

The inspection was completed by two inspectors.

Service and service type

10-12 Hainsworth Park 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. 10-12 Hainsworth Park 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 CQC 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 not a registered manager in post. The service had been without a registered manager since June 2022. A new manager was in post and was in the process of applying to become the registered manager.

Notice of inspection

This inspection was announced. We gave a short period of notice of the inspection. This was because it is a small service and we needed to be sure there would be people at home to speak with us and the provider or manager available to support the inspection.

What we did before the inspection

We reviewed information we received about the service since it first registered. 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 sought feedback from Healthwatch, and the local authority who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 1 of their relatives about their experience of the care provided. We received feedback from 2 health and social care professionals and spoke with 8 members of staff including the provider’s nominated individual, the manager, the clinical support manager, deputy manager, a team leader and support workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 3 people's care and medicine administration records. We looked at 2 staff files in relation to recruitment, training and supervision. A variety of other records relating to the management of the service, including audits and policies and procedures were also reviewed.

Updated 22 December 2022

About the service

10-12 Hainsworth Park is a care home providing personal and nursing care for up to four children and younger adults with mental health needs. The service provides support in two adapted buildings in a residential area. At the time of our inspection there were three people using the service.

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

People benefited from living in a person-centred and caring service. However, improvements were needed to help ensure people would receive consistently safe and effective care. Medicines were not managed safely. We could not be assured new staff had been safely recruited or that agency staff were suitable and safely deployed to work in the service. Records relating to the induction, training and monitoring of new staff’s performance did not evidence a safe and effective process.

Clear and complete records were not always available in other areas, for example in relation to the management of accidents and incidents or health, safety and maintenance checks. Because of these concerns, there was an increased risk people could receive ineffective or unsafe care. There had been changes of management at the service. Whilst we received positive feedback about the new manager there had been a lack of oversight and effective monitoring during a period of transition, which showed the service had not always been well-led.

People’s needs were thoroughly assessed, and detailed person-centred care plans were in place setting out how best to meet people’s 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. Staff encouraged people to express their wishes and views and to be involved in decisions.

Staff were caring and respectful in the way they supported people. People were supported to take positive risks, access their wider community and pursue their hobbies and interests.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 10 June 2021 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 based on when the service was registered.

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.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to safety, medicines, evidencing safe recruitment practices and the governance arrangements at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.