20 October 2022
During a routine inspection
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.