24 November 2021
During an inspection looking at part of the service
People’s experience of using this service and what we found:
People received care from staff who were caring and responsive, but improvements were needed to aspects of medicines management, record keeping and risk management. We have made a recommendation about quality assurance processes, to ensure they are more effective in identifying and addressing shortfalls.
There was a system in place to make sure there were enough staff to meet people’s needs and agency staff were used to cover any gaps. The provider was taking action to try and recruit more staff, to help improve consistency of care. People were supported by staff who were safely recruited and vetted.
Improvements had been made to infection control practices in the home. Work was underway at the time of our inspection to make improvements to the environment, to support with effective hygiene practices.
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.
The registered manager promoted a positive culture and staff felt supported. Staff worked with health and social care professionals to meet people’s needs.
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:
The last rating for this service was good (published 25 April 2020).
Why we inspected:
We received concerns in relation to infection control and risk management. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report. The provider took action straightaway to respond to our feedback and continue working on their own action plan.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hesslewood House on our website at www.cqc.org.uk.
Follow up:
We will work with the local authority to monitor progress and will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.