CQC report explained · a nursing home
What the CQC found at Hannahwood Transitions
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2023
Hannahwood Transitions is rated Good; inspectors found safe, person-centred care, with some records that needed strengthening.
Inspectors made an unannounced visit on 7 June 2023. They spoke with one person, relatives, staff and managers. They reviewed care records, medicine records, audits, policies and recruitment files.
The home was rated Good for Safe and Well-led. Inspectors found that people had risk assessments, medicines were managed safely, staffing was sufficient and infection control arrangements were effective.
The home supported people to make choices and live as independently as possible. Staff understood people's needs and relatives said they had confidence in the service and its leadership.
This was not a full inspection of all five areas. Effective, Caring and Responsive were not inspected during this visit, so their previous ratings were carried forward. The overall Good rating remained unchanged from the previous inspection in 2017.
Risk management
Care plans covered important risks, including health conditions, choking, moving and handling, epilepsy and emotional wellbeing. Staff understood the guidance and followed it.
“People's care plans contained risk assessments, which included risks associated with ongoing medical conditions, moving and handling, choking, epilepsy, environment, and emotional wellbeing.” from the report
Choice and independence
People were supported to make choices, remain as independent as possible and receive care in the least restrictive way.
“Staff were committed to supporting people in line with their preferences and supported people to receive their medicines safely and as prescribed.” from the report
Safe medicines
Inspectors observed that people received medicines as prescribed. Staff were trained and their competence was checked regularly.
“Medicines administered 'as and when required' included protocols providing guidance for staff about when the medication should be used.” from the report
Open leadership
The management team had established audits and encouraged staff to raise concerns and suggest improvements.
“We found an open and transparent culture, where constructive criticism was encouraged.” from the report
Incomplete care records
needs fixingStaff did not always record that specialist equipment care tasks had been checked. Inspectors also recommended stronger recording of medicine reviews, although they were satisfied that people received the appropriate care and support.
“staff did not always record when a care task relating to specialist equipment had been checked.” from the report
- 01How do you now make sure checks of specialist equipment are completed and recorded every time?
- 02How are medicine reviews recorded, and who checks that the records are complete?
- 03What were the previous ratings for Effective, Caring and Responsive, and when will these areas next be reviewed?
- 04How do staff involve each person in decisions about their care and daily choices?
- 05How do you make sure staffing levels remain sufficient when there are staff shortages?
This was an inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 4 July 2023 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, August 2017
Hannahwood Transitions was rated Good overall, with Outstanding caring support and a strong focus on independence and activities.
Inspectors visited on 22 and 28 February 2017. The first visit was unannounced. They spoke with people living in the home, relatives, staff and a healthcare professional. They observed care, looked around the home and checked medicines, meals, care records, risk assessments and staff recruitment records.
The home was rated Good for Safe, Effective, Responsive and Well-led. It was rated Outstanding for Caring. Inspectors found enough staff, safe medicines systems, detailed care plans, suitable training and good support with eating, communication, healthcare and decision-making.
Inspectors found that staff knew people well and treated them with warmth, dignity and respect. People were supported to develop skills, make choices, take part in education and enjoy many activities both in the home and in the community.
The overall Good rating means the home met the regulations and provided a good standard of care at the time of this inspection. The previous inspection in October 2014 also rated the home Good.
Kind and respectful staff
Inspectors found that staff built warm relationships and treated people with affection, dignity and respect.
“Every person, relative and healthcare professional we spoke with expressed how impressed they were with the exceptionally caring nature of the staff and their attitudes.” from the report
Choice and independence
People were supported to make decisions, develop skills and do as much as possible for themselves, including working in the café.
“A strong focus was on improving people's skills, enabling their independence and empowering them to have a voice.” from the report
Wide range of activities
People could choose from many educational, social, leisure and community activities that matched their interests.
“People had access to a wide range of activities which met their social, emotional, physical and intellectual needs.” from the report
Skilled support
Staff received specialist training and could draw on nurses and therapists employed by the organisation to support complex needs.
“Staff had undertaken training in areas which included communication, safeguarding adults, fire safety, first aid, health and safety, infection control, the Mental Capacity Act 2005, learning disability, eating and drinking and medicines.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's specific physical, communication, sensory and learning needs?
- 02What communication methods or devices would be used to help my relative make choices and express their views?
- 03What specialist nursing, therapy and emergency support would be available for my relative?
- 04How would my relative be supported to take part in activities, education, work experience and community life?
- 05If my relative cannot make a particular decision, how would you involve them, the family and healthcare professionals in a best-interests decision?
This was a comprehensive inspection covering all five CQC questions, based on visits on 22 and 28 February 2017. This explanation was written from the published report of 4 August 2017 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 report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Hannahwood Transitions
3 rated inspections over 8 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 December 2010.
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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17 live-in carers within about an hour of Devon
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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.
“She is such a warm and gentle person while being professional and competent at the same time.”
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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.