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CQC report explained · a residential care home

What the CQC found at Hall Bank Mews

Goodpublished 22 March 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks, safeguarding, staffing, recruitment, medicines and infection control were managed safely. Accident and incident records were reviewed and action was taken when needed.
Effective?
Good
People's needs were assessed and reviewed, staff received induction and training, and people were supported with nutrition, healthcare and communication. Mental capacity and best-interest processes were in place where needed.
Caring?
Good
People were treated with dignity and respect and were involved in care reviews and house meetings. Staff encouraged independence and supported people to communicate their wishes.
Responsive?
Good
Care plans were personalised and staff supported people with hobbies, ambitions and meaningful activities. The home had an accessible complaints process, although it had not received any formal complaints.
Well-led?
Good
Inspectors found an inclusive culture, regular audits and approachable leadership. The new registered manager had introduced systems and strategies that improved the person-centred culture.
The latest report, explained

What inspectors found, March 2019

Hall Bank Mews was rated Good; inspectors found kind, personalised care and effective management, with some room to improve community links.

This was an unannounced inspection on 29 January 2019 by two inspectors. They spoke with one person using the service, two relatives, three care staff and the registered manager. They observed care, reviewed one care file and checked records, audits, incidents and medicines.

Inspectors found that people were safe, treated kindly and supported to make choices. Staff knew people well, promoted independence and helped people take part in activities that mattered to them. Care plans were detailed and included people's preferences.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the legal requirements were met and that care was consistently good. The previous inspection, published in August 2016, also rated the home Good.

What inspectors praised
  • Kind and respectful care

    Staff knew people well and treated them with dignity. Inspectors saw staff asking for consent and supporting people in a respectful way.

    “People were well cared for by staff who were kind and caring. Staff knew people well and they promoted person-centred care.” from the report
  • Choice and independence

    People were involved in decisions about their care and were encouraged to do as much as possible for themselves.

    “People were given choice about the way their care was delivered and staff encouraged people to be as independent as possible.” from the report
  • Personalised activities

    Staff helped people pursue interests and ambitions, including trips, festivals, animal-related activities and entertainment in the home.

    “Staff supported people to fulfil their hobbies, interests and ambitions such as going to the zoo, going to a festival and attending a giraffe experience.” from the report
  • Safe medicines and risk management

    Inspectors found that medicines, controlled drugs and health-related risks were managed safely, with guidance available for staff.

    “Controlled drugs were stored and administered in line with the law and best practice guidance.” from the report
  • Positive leadership

    The new registered manager had strengthened governance and helped create an inclusive, person-centred culture.

    “The registered manager had developed systems and strategies to build and improve upon the governance and leadership within the service which as a result improved the person centred culture within Hall Bank Mews.” from the report
What inspectors were concerned about
  • Community links could improve

    minor

    The home had developed some community links, but one staff member said more could be done to help people become part of the local community.

    “We could do better at integrating people into this community more.” from the report
  • Equality information was not routinely explored

    minor

    The manager said the home did not specifically ask people about sexual orientation and preferences, although this could be considered in future.

    “The registered manager told us that they did not specifically ask people about sexual orientation and preferences but would consider this for people where appropriate in the future.” from the report
Questions to ask them, based on this report
  1. 01How are you improving links with the local community and helping people take part in community life?
  2. 02How do you find out and record each person's wishes about equality, diversity and personal preferences?
  3. 03How often will my relative's care plan be reviewed, and how will they and our family be involved?
  4. 04What activities and opportunities would be available for my relative based on their interests and ambitions?
  5. 05How do you make sure staffing levels remain sufficient when staff are absent?

This was an unannounced planned inspection that looked at the overall quality of the care home and all five CQC questions. This explanation was written from the published report of 22 March 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.

The story over the years

Every inspection of Hall Bank Mews

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hall Bank Mews →

  2. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2011

    Registered with the Care Quality Commission on 21 January 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.

Next steps

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