Harewood Court Nursing Home

Updated 26 May 2023

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 carried out by an inspector 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

Harewood Court Nursing Home 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. Harewood Court Nursing Home 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 Care Quality Commission 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection

During the inspection

We spoke with 8 people who use the service and 5 relatives regarding their experiences using the service. We spoke to 4 staff members including the registered manager. We reviewed a range of records including 4 people's care records and multiple people's medicines records. We looked at 3 staff files in relation to recruitment and supervision. We looked at a variety of records relating to the management of the service including policies and procedures.

Updated 26 May 2023

About the service

Harewood Court Nursing Home is a residential care home providing personal and nursing care to up to 40 people aged 65 and over. At the time of our inspection there were 36 people using the service. The home accommodates people across 2 floors, each of which has separate adapted facilities.

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

The provider assured us there was a sufficient number of staff on each shift, however at times we observed no people in communal areas. Risks around behaviours had not been managed. There was a lack of records in place to record fluid and food intake of people assessed at risk of weight loss. People were protected from abuse and staff understood the principles of safeguarding. There was a clear system in place to respond to incidents.

Preferences and choices were reflected in people’s care plans. Staff completed a wide range of training. People were supported to access healthcare services as needed. People were able to request what they wanted to eat. Staff knew how to respond and deal with any concerns.

There was a positive culture within the service. A number of audits were completed at the service. Satisfaction surveys were completed, and actions were devised in response to any concerns. People had access to appropriate health professionals when needed.

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.

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 good (published 20 January 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Harewood Court Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.