CQC report explained · a nursing home
What the CQC found at Hadrian House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors found enough staff, safe medicines management and safeguarding systems. However, some infection control practices, COVID-19 testing and risk records were not always in line with requirements.
- Effective?
- Good
- This focused inspection did not assess or rate Effective.
- Caring?
- Good
- This focused inspection did not assess or rate Caring. People and relatives gave positive feedback about staff and their relationships with people.
- Responsive?
- Good
- This focused inspection did not assess or rate Responsive. Inspectors recommended better support for people who wanted to go outside or take part in their local community.
- Well-led?
- Good
- Governance systems, audits and action plans were in place to monitor and improve the home. The provider was also taking action to recruit a registered manager.
What inspectors found, July 2022
Rated Good overall, but inspectors found infection control and some safety records needed improvement.
This was an unannounced inspection on 4, 15 and 16 February 2022. It began as a targeted check of infection prevention and control, staffing pressures and their effect on care. After inspectors found concerns about infection control and received concerns about care, it became a focused inspection of Safe and Well-led.
The home was rated Good overall. Well-led was rated Good, but Safe was rated Requires Improvement. Inspectors found enough staff, safe medicines systems, safeguarding arrangements and systems for learning from accidents. However, some COVID-19 testing and personal protective equipment practices did not follow guidance, and some risk records were out of date.
The provider acted during the inspection to address several problems. This included updating risk assessments, correcting infection control practices, changing testing guidance and arranging a medicines audit for the designated setting unit. Inspectors also recommended that people should be supported to go outside or take part in their local community where they want to.
Safe medicines
Inspectors found that medicines were managed safely and given as prescribed.
“Medicines were managed safely. Systems were followed by staff to ensure people received their medicines as they were prescribed.” from the report
Staffing levels
There were enough staff to meet people's needs and maintain safe staffing levels, although agency staff were used.
“There were enough staff deployed to meet people's needs.” from the report
Safeguarding
Systems were in place to protect people from abuse, and people and relatives said they felt safe.
“Systems were in place to safeguard people from the risk of abuse. People told us they felt safe and relatives confirmed this.” from the report
Quality monitoring
The home had governance systems, audits and action plans to monitor quality and address problems.
“Governance systems were in place to monitor quality at the home.” from the report
Infection control
seriousSome agency staff did not use personal protective equipment correctly. COVID-19 testing for some staff, visitors and returning residents was not always in line with government guidance.
“Testing for COVID-19 was not always taking place in line with government guidance.” from the report
Out-of-date risk records
needs fixingSome risk assessments had not been updated when people's health needs changed. The provider updated them after inspectors raised this.
“Some records had not always been updated when people's needs had changed.” from the report
Access to outside space
needs fixingOne person said they could not leave the home for fresh air. Inspectors recommended more person-centred support for people wanting to go outside or into the local community.
“We recommend the provider considers ways to always provide person-centred support to people who want to be involved in their local community or access outside areas of the home to support their wellbeing.” from the report
Agency staff consistency
needs fixingSome relatives were concerned that agency staff did not have the same skills as permanent staff and that this affected consistent care.
“Some relatives raised concerns regarding the skills of some agency staff and the effect this had on providing consistent care.” from the report
- 01How do you now make sure staff and visitors complete COVID-19 testing in line with current guidance?
- 02How do you check that agency staff use protective equipment correctly and have the skills needed for the people living here?
- 03How often are risk assessments reviewed when a person's health needs change?
- 04How will you support residents who want to go outside or take part in the local community?
- 05Has a registered manager now been appointed and registered with the CQC?
This began as a targeted infection control and staffing inspection, then became a focused inspection of Safe and Well-led; Effective, Caring and Responsive were not assessed or rated. This explanation was written from the published report of 22 July 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2020
Inspected but not rated; inspectors found good infection prevention and control arrangements.
This was an announced, targeted inspection on 16 November 2020. Inspectors looked only at infection prevention and control because the home had been chosen as a designated setting for people with Covid-19 leaving hospital.
The home had set aside 18 beds on a self-contained ground floor. Inspectors found safe arrangements for entering and leaving this area, a dedicated staff team, enough protective equipment, suitable cleaning and regular checks.
Inspectors said they were assured that the home was following safe infection prevention and control procedures. The service was inspected but not rated, so this report does not give a full quality rating.
Dedicated staff team
A separate staff team was used for the designated area to reduce the risk of infection spreading.
“A dedicated staff team had been identified to provide care and support to help reduce the risk of cross infection.” from the report
Protective equipment
The home had enough protective equipment, and staff could explain how to put it on and take it off safely.
“The provider had enough supplies of appropriate PPE. Staff were able to explain the procedures for putting on and taking off PPE correctly.” from the report
Cleaning and checks
The premises were clean and tidy. Extra cleaning time was provided, and audits were used to check infection control practices.
“Quality assurance audits were completed to ensure safe infection control practices were being followed by staff and to identify any improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the 18 designated beds and the separate ground-floor area being used now?
- 02Is there still a dedicated staff team for people with Covid-19, and how do you prevent staff working across different areas?
- 03How do you make sure there is enough protective equipment and that staff use it correctly?
- 04How are residents and staff tested, and how are positive test results managed?
- 05What do your current infection-control audits show, and what improvements have been made since this inspection?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 24 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Hadrian House
5 rated inspections over 6 years: the service has held its Good rating throughout.
- July 2022Goodcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2020Inspected but not ratedSafe: Inspected but not rated
- April 2018Goodup from Requires improvementSafe: GoodWell-led: Requires improvement
- March 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- May 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 26 May 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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30 live-in carers within about an hour of North Tyneside
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Most charge £950 to £1,130 a week. 26 can care for a couple. 10 years' experience on average.
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