Hawthorne Court Nursing Home is a purpose built nursing home and reablement unit, accommodating up to 80 older persons, including people who are living with dementia. The inspection was unannounced and was carried out on 7 and 9 June 2017.
At the last inspection on 24 and 26 August 2015 the service was rated Good. At this inspection we found the service remained Good.
There was a registered manager in place at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run.
The service was overall responsive to people’s needs and any concerns they had. We have made a recommendation that the provider researches and implements current good practice in relation to mental health and dementia care planning.
People told us they felt safe living in the home and that care was delivered in a safe manner. Staff and the registered manager had received safeguarding training and were able to demonstrate an understanding of the provider’s safeguarding policy and explain the action they would take if they identified any concerns.
The risks relating to people’s health and welfare were assessed and these were recorded along with actions identified to reduce those risks in the least restrictive way. The assessments were personalised and provided sufficient information to allow staff to protect people whilst promoting their independence.
People were supported by sufficient staff who had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs.
There were suitable systems in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and assessments. Healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.
Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.
Staff developed caring and positive relationships with people and were sensitive to their individual choices and treated them with dignity and respect. People and their families were encouraged to express their views and be involved in making decisions about their care and support.
People were supported to have enough to eat and drink. Mealtimes were relaxed and staff supported people in a patient and friendly manner.
There was a programme of activities for mental and social stimulation and there were plans to provide these at different times to meet people’s preferences.
People were encouraged to provide feedback on the service provided, both informally and through a quality questionnaire.
The registered manager demonstrated an open and inclusive style of leadership. Staff understood their roles and responsibilities and there were clear lines of accountability within the service.
There were systems in place to monitor quality and safety of the home provided. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence.