CQC report explained · a residential care home
What the CQC found at Hafod Residential Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, June 2021
Inspected but not rated; inspectors found good COVID-19 infection control, with some bathroom hygiene issues that were fixed promptly.
This was a targeted inspection on 26 May 2021. It looked at infection prevention and control measures during the COVID-19 pandemic, rather than giving a full quality rating.
Inspectors were assured about most infection control arrangements. These included safe admissions, correct use of protective equipment, testing, visiting arrangements, shielding and social distancing.
There were some problems with communal bathrooms. Personal toiletries were accessible to anyone using one bathroom, another needed extra cleaning, and three bathrooms did not have hand towels. The home addressed these issues promptly.
The service was marked 'Inspected but not rated'. This means the report gives information about the areas checked, but it is not a full overall rating of the home.
Protective equipment
Staff were seen using PPE correctly and knew how to put it on and remove it safely.
“Staff were seen to be wearing their personal protective equipment (PPE) correctly and knew how and where to put on and take off their PPE safely” from the report
Testing and admissions
New residents were asked to self-isolate for 14 days, and the home took part in COVID-19 and lateral flow testing.
“New admissions to the service were requested to self isolate in their rooms for 14 days.” from the report
Family communication
The home kept families regularly informed about their relative's health and wellbeing.
“There was clear and regular communication between the home and family members to keep them informed of their relative's health and wellbeing.” from the report
Family visits
A conservatory with a separate entrance was available for visits, helping to reduce the risk of infection entering the home.
“There was a large conservatory available to facilitate visits from family and friends.” from the report
Communal bathroom arrangements
needs fixingOne bathroom had residents' toiletries accessible to anyone who entered. Another needed extra cleaning, and three bathrooms lacked readily available hand towels. The issues were addressed promptly.
“A first floor communal bathroom was found to contain personalised toiletries accessible to anyone who entered the bathroom.” from the report
Hand-drying facilities
needs fixingThree communal bathrooms did not have hand towels readily available after handwashing.
“Three communal bathrooms did not have hand towels readily available to dry hands after washing.” from the report
- 01What changes were made after inspectors found personalised toiletries accessible in a communal bathroom?
- 02How do you now check that communal bathrooms are cleaned to the required standard?
- 03How do you ensure hand towels or other suitable hand-drying facilities are always available?
- 04How are COVID-19 testing, PPE and visiting arrangements currently managed for residents, staff and visitors?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic, and the service was inspected but not rated overall. This explanation was written from the published report of 23 June 2021 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, May 2019
Hafod Residential Home was rated Good overall; inspectors found safe, kind and personalised care, but limited activities and a bath out of action.
Inspectors visited without warning on 17 and 18 April 2019. They spoke with people, a relative, staff and health professionals, observed care, looked around the home, and checked care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, medicines were managed safely, staff were trained, and care was tailored to people's needs.
People and relatives described kind care and said concerns were listened to. There was limited time for activities and social interaction, and the jacuzzi bath was out of action while a replacement part was awaited. The overall rating remained Good, and Well-led improved from Requires Improvement at the previous inspection.
Kind and respectful care
Staff were seen to be patient and caring. People were supported with dignity, independence and respect for their individual wishes.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Safe medicines management
The home used regular medicines checks and had systems for reporting errors. Inspectors found people's medicines were managed safely.
“People's medicines were managed safely. Systems were in place to check the safe administration of people's medicines.” from the report
Skilled and supported staff
Staff received induction, training and support relevant to people's needs, including dementia and diabetes.
“Staff undertook training to meet people's specific needs, such as dementia and diabetes.” from the report
Open management
Inspectors found clear responsibilities, regular quality checks and an open approach to concerns and mistakes.
“The culture of the home was open and transparent.” from the report
Bath out of action
minorThe jacuzzi bath had been unavailable for some time while the home waited for a replacement part. The report says the part had been ordered.
“However, people said the bath had been out of action for some time.” from the report
Some personal histories unfinished
minorPersonal histories had been recorded for some people, but the manager knew that some still needed completing.
“The registered manager was aware some peoples needed completing.” from the report
- 01What activities and opportunities for social interaction are now available, and has the activities coordinator been appointed?
- 02Has the jacuzzi bath been repaired, and what alternatives are available while it is out of action?
- 03Have all residents' personal histories been completed and added to their care plans?
- 04How are medicines audits and any medicines errors reviewed and followed up?
- 05How are people's views and complaints used to make changes to the service?
This was an unannounced planned inspection covering the overall service and all five CQC questions, including the premises, care, records, staff and management systems. This explanation was written from the published report of 21 May 2019 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 Hafod Residential Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 10 March 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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