Background to this inspection
Updated
27 February 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 care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 26 January 2021 and was unannounced.
Updated
27 February 2021
Hurstead House Nursing Home is a residential care home which is registered with the Care Quality Commission to accommodate up to 30 people in one adapted building. There were 25 people living at the home at the time of inspection.
People’s experience of using this service and what we found
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.
We made a recommendation around improving how all staff respond to an emergency such as a fire.
We also made a recommendation for more personalised end of life wishes be recorded.
Safeguarding policies, procedures and staff training helped protect people from harm. All necessary checks on staff and the environment were undertaken to keep people safe. Risk assessments helped protect the health and welfare of people who used the service. The administration of medicines was safe.
People were supported to live healthy lives because they had access to professionals, a well-trained staff team and a choice of a nutritious diet. The service worked with other organisations to provide effective and consistent care. 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.
People were treated as individuals which helped protect their dignity. People’s equality and diversity was respected by a caring staff team and where they wanted they were supported pursue their religion.
We saw that the service responded to the needs of people by providing meaningful activities, having regularly reviewed plans of care and any concerns acted upon. Staff training enabled them to care for people at the end of their lives.
The deputy manager conducted audits and attended meetings to discuss best practice topics with other organisations to improve the service. People who used the service and staff said managers were available and approachable. People who used the service and staff were able to air their views about how the service was run.
Rating at last inspection.
The last rating for this service was requires improvement (published 22 August 2018) and there was a breach of Regulation 17 HSCA RA Regulations 2014. Good governance. The oversight of the service did not always detect or react to issues which may affect the safety or wellbeing of people who used the service. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found further improvements had been made and the provider was no longer in breach of regulations.
Why we inspected.
This was a planned inspection based on the previous rating.
Follow up
We 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.