Background to this inspection
Updated
12 May 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by two inspectors.
Service and service type
Hall Green Care 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. Hall Green Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 7 April and ended on 14 April 2022.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority. We reviewed information received during on-going monitoring of the service. We used all this information to plan our inspection.
During the inspection
We spoke with seven people who lived at the service. We spoke with 11 staff members including the registered manager, the deputy manager, senior carers, care assistants and a domestic staff member. We spoke with five relatives about the care their loved ones received. We reviewed a range of records. These included six care records and multiple medication records. We reviewed a variety of records relating to the management of the service, including policies and procedures. We reviewed two staff files in relation to recruitment and staff supervision. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
12 May 2022
About the service
Hall Green Care Home is a residential care home providing the regulated activity of accommodation with personal care for up to 62 people. The service provides support to people living with dementia. At the time of our inspection there were 39 people using the service. The home is separated across three floors, each with separate adapted facilities. The top floor provided short stay interim beds- Enhanced Assessment Beds (EAB) for people discharged from hospital, who may require further assessment of their care and support needs before returning to their own home or another form of care placement.
People’s experience of using this service and what we
People’s safety was monitored and managed effectively. They were supported by appropriate numbers of suitably trained and safely recruited staff. People were supported to take their medicines safely. Their home was clean and free of clutter. People told us they felt safe. One person told us; “I do feel safe, they come and check on me at night too.”
People received good quality care, which was monitored by effective governance processes. Their relatives and staff who supported them spoke highly of the registered manager and deputy manager. One staff member told us; “I love my job; the managers have been so supportive.” Staff were kept up to date with national policy which helped them improve the care provided.
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 requires improvement (published 25 October 2019).
Why we inspected
This inspection was prompted by a review of the information we held about the 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.
We undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hall Green Care 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.