Hendford Nursing Home

Updated 20 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 11 February 2021 and was announced.

Updated 20 March 2021

About the service: Hendford Nursing Home is a nursing home in Epsom. The service provides accommodation with nursing and personal care for up to 34 people. When we visited, 27 people lived there.

People’s experience of using this service: People were supported by staff that were caring and treated them with dignity and respect. Staff understood the needs of the people they supported. Through conversation staff told us how they aimed to achieve positive outcomes for people.

Risks of abuse to people were minimised. Assessments of people’s needs identified known risks and risk management guidance was produced for staff which they understood. The service had appropriate safeguarding systems and processes. Staff understood safeguarding reporting processes and the registered manager had a detailed oversight of current and historical safeguarding matters.

There were effective systems that ensured the service was safe. Health and safety checks, together with effective checks of the environment were carried out by dedicated staff.

People were supported by staff who had the skills and knowledge to meet their needs. Staff understood their role and were confident when performing it through a continual training package. Staff at the service worked together with a range of healthcare professionals to achieve positive outcomes for people and followed professional advice to achieve this.

There were systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority. We identified that the service needed to make improvements in how they applied the principles of the Mental Capacity Act 2005 and associated guidance. We have made a recommendation about this within the report.

The standard of decoration varied with some parts of the service showing signs of wear and tear. The registered manager told us they had a program of redecoration alongside works planned to improve the environment for people.

People's concerns and complaints were listened to and responded to. Accidents, incidents and complaints were reviewed to learn and improve the service.

People’s relatives commented positively about the registered manager and the quality of care their family member received. Quality monitoring systems included audits, observation of staff practice and regular checks of the environment to ensure people received good care.

Rating at last inspection: Good (Report published November 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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