CQC report explained · a nursing home
What the CQC found at Hallmark Henley Manor Luxury Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, staffing, recruitment, medicines and infection prevention were managed safely. They also noted that sharp bins had not always been dated with opening and closing dates, and spot checks were introduced.
- Effective?
- Good
- People's needs were assessed and care was reviewed. Staff received induction, training and supervision, and people were supported with food, healthcare and decisions about their care.
- Caring?
- Good
- People and relatives described staff as kind, respectful and professional. Inspectors observed polite interactions and found that people were involved in decisions about their care.
- Responsive?
- Outstanding
- The home provided highly personalised activities and supported relationships with families and the local community. Inspectors also found strong, individualised end-of-life care.
- Well-led?
- Good
- The home had a clear management structure, effective quality checks and a focus on learning and improvement. Staff, relatives and healthcare professionals gave positive feedback about communication and leadership.
What inspectors found, July 2021
Rated Good overall, with Outstanding responsive care; inspectors found caring staff and a minor issue with dating sharp bins.
This was the first inspection of the newly registered home. The inspection visit took place on 19 May 2021 and was unannounced. Inspectors spoke with people, relatives, staff and healthcare professionals. They also reviewed care plans, medicines records, recruitment files and quality checks.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, good support with food and healthcare, and respectful care. People and relatives spoke positively about staff and communication.
Responsive care was rated Outstanding. The home provided highly personalised activities, supported family and community relationships, and offered strong end-of-life care. Infection prevention arrangements were also checked because of COVID-19 and were found to be effective.
Personalised activities
Staff found out about people's past interests and made individual activities happen. People were encouraged to take part but were not pressured.
“The service had gone the extra mile to find out what people had done in the past and evaluated whether it could accommodate activities and made them happen.” from the report
Family and community links
The home supported meaningful relationships with families and local organisations, including links with a school and a community dementia clinic.
“The service took a key role in the local community and was actively involved in building further links.” from the report
End-of-life care
Inspectors found that staff had the skills and training to support people and families at the end of life. Care was described as comfortable, dignified and individualised.
“This had resulted in people receiving a comfortable and dignified death.” from the report
Kind and respectful staff
People and relatives described staff as caring and reassuring. Inspectors observed calm, polite and respectful interactions.
“People were treated with dignity and respect at all times and were not discriminated against.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and found that medicines were administered and recorded accurately.
“There was accurate recording of the administration of medicines.” from the report
Sharp bin dating
minorAn infection control audit found that sharp bins were not always marked with their opening and closing dates. The manager discussed this with staff and introduced random spot checks.
“an infection control audit showed that sharp bins were not always dated with opening and closing date.” from the report
- 01How are sharp bins dated and checked now?
- 02How will you tailor activities to my relative's past interests and preferences?
- 03How do you support relatives to stay involved in care and visiting arrangements?
- 04What end-of-life care can you provide in the home, and how will you involve the family?
- 05How do you adjust staffing when people's needs change?
This was an unannounced first inspection covering all five CQC questions, with infection prevention and control checked as part of Safe because of COVID-19. This explanation was written from the published report of 16 July 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, September 2020
Hallmark Henley Manor Luxury Care Home was inspected but not rated; inspectors were assured about infection prevention and control during the Covid-19 pandemic.
This was a targeted inspection on 24 August 2020. It looked only at infection prevention and control measures in response to the coronavirus pandemic.
Inspectors were assured that the home was using personal protective equipment safely, accessing testing, managing visitors and admissions safely, and following shielding and social distancing rules.
The home had introduced extra cleaning, regular staff testing, staff training and a garden visiting suite. It also took steps to reduce loneliness and keep residents in touch with relatives.
The service was new and this inspection was not rated. This means the report does not give an overall quality rating or ratings for the other areas of care.
Infection control equipment
The home had sufficient PPE and had checked that it met quality standards. Staff received training and their competence in infection control and PPE use was assessed.
“There was sufficient stock of appropriate personal protective equipment (PPE) and it had been checked by the regional team to ensure it complied with the quality standards.” from the report
Safe admissions
New residents were admitted only after a confirmed negative Covid-19 test. The home had also considered where people could safely isolate if needed.
“The provider had robust systems to ensure safe admissions, including only allowing new admissions after a confirmed negative result of the Covid-19 test.” from the report
Visits and family contact
A garden visiting suite was created, with booking arrangements, visitor checks and PPE. Technology was also used to help residents communicate with their families.
“A visiting suite had been installed in the garden to safely facilitate relatives' visits on a pre-booking basis.” from the report
Support for wellbeing
The home assessed the risk of social isolation and planned activities to support residents' wellbeing during lockdown. It also considered the needs of people living with dementia and other frail people.
“The provider's 'Lifestyle' care plan included a designated assessment to identify people at risk of social isolation so that actions could be put in place to reduce and manage the risks.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention, PPE and staff testing arrangements are in place now?
- 02How do you currently manage visits from relatives, and what happens if infection risks increase?
- 03How do you prevent residents from becoming socially isolated when visits or group activities are restricted?
- 04What are your current arrangements for safely admitting a new resident and managing isolation if needed?
- 05Has the home had a later inspection or received ratings for care areas not covered by this report?
This was a targeted inspection of infection prevention and control measures only, so it did not rate the other areas of care or give an overall quality rating. This explanation was written from the published report of 10 September 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 Hallmark Henley Manor Luxury Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- July 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Hallmark Henley Manor Luxury Care Home →
- September 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Hallmark Henley Manor Luxury Care Home →
- January 2020
Registered with the Care Quality Commission on 30 January 2020.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
38 live-in carers within about an hour of Oxfordshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.