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CQC report explained · a residential care home

What the CQC found at Hardwick View

Goodpublished 7 May 2024, 2 years ago

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

The latest report, explained

What inspectors found, March 2020

Rated Good overall, with Outstanding caring and inspectors finding kind, personalised support that promotes independence.

This was a planned inspection. One inspector visited on 23 January and 4 February 2020. The first visit was unannounced.

Inspectors spoke with 14 people, seven relatives, seven staff members, two healthcare professionals and the local authority. They reviewed care plans, medicine records, staff files, training records, audits and other management records.

The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding. This means inspectors found consistently good care, with exceptionally caring treatment and support.

What inspectors praised
  • Kind and respectful care

    Inspectors found exceptionally caring relationships between people and staff. People appeared comfortable and trusted the staff supporting them.

    “All our observations showed staff treated people with the utmost kindness, patience and respect.” from the report
  • Promoting independence

    Staff did not assume that disability limited what people could achieve. They supported people to make choices, develop skills and take part in ordinary community life.

    “Staff were highly motivated and held a strong belief that people should be as independent as possible and live fulfilling lives.” from the report
  • Strong health support

    The home worked with health professionals and challenged unequal access to healthcare. Inspectors heard examples of people's health and quality of life improving.

    “People's health outcomes had greatly improved since moving to the home.” from the report
  • Personalised activities and relationships

    People were supported to enjoy clubs, sport, education, arts, holidays and relationships. Staff adapted activities to individual interests and communication needs.

    “People were supported on a daily basis to have active and fulfilling social lives.” from the report
What inspectors were concerned about
  • Larger than current best practice guidance

    minor

    The home is larger than current guidance recommends for this type of service. Inspectors said the building's design and its setting among similar homes reduced the possible negative impact.

    “This is larger than current best practice guidance.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure the home's larger size does not affect my relative's experience or sense of belonging?
  2. 02How will my relative be involved in decisions about their care, medicines and health appointments?
  3. 03What activities and opportunities could my relative take part in based on their interests and abilities?
  4. 04How would you support my relative to communicate choices, worries or complaints?
  5. 05How would you support my relative's relationships with family, friends or a partner?

This was a comprehensive planned inspection covering all five CQC questions, and the report says all five ratings remained the same as at the previous inspection. This explanation was written from the published report of 31 March 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.

An earlier report, explained

What inspectors found, June 2017

Rated Good overall; inspectors found Outstanding caring and strong personalised support, with no breaches reported.

The inspection visit took place on 18 May 2017. The report says it was announced in the summary, but later describes it as unannounced. The inspector spoke with everyone living in the home, relatives, staff and professionals. They also checked care records, medicines, recruitment and management records.

Inspectors found people were safe and received effective, personalised care. Medicines were given safely, staffing was flexible, risks were reviewed and staff had suitable training. People were supported to make choices, stay healthy and keep their independence.

Caring was rated Outstanding. Inspectors saw kind and respectful relationships, strong knowledge of people's communication needs and support for full, active lives. Responsive and well-led care were rated Good, with activities, care plans, complaints arrangements and quality checks in place.

What inspectors praised
  • Personalised support

    Care records reflected people's choices and preferences. Staff knew how individuals communicated and responded when their needs changed.

    “Each person had individualised care plans that reflected their needs, choices and preferences, and gave detailed guidance to staff about how to make sure personalised care was provided.” from the report
  • Active lives

    People were supported to enjoy a wide range of activities, outings and interests. The report also describes support for personal goals and building confidence.

    “People were encouraged to participate in a huge range of hobbies and interests.” from the report
  • Safe medicines and staffing

    Inspectors found enough flexible staff and safe medicines management. The medicines records checked were complete.

    “Medicines were administered consistently and safely.” from the report
  • Strong management

    Inspectors found clear responsibilities, approachable leaders and effective checks to monitor the quality of care.

    “There was an effective and robust quality assurance system in place to drive continuous improvement within the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you currently support people who communicate without many spoken words?
  2. 02How are medicines checked now, and how do you make sure they are given on time and as prescribed?
  3. 03What activities and outings are available, and how do you match them to each person's interests and goals?
  4. 04How are changes in a person's health, behaviour or care needs recorded and shared with staff and family?
  5. 05How can residents and relatives raise concerns, and how quickly are these dealt with?

This was a comprehensive inspection covering all five key questions and providing an overall rating. This explanation was written from the published report of 29 June 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 story over the years

Every inspection of Hardwick View

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Hardwick View →

  2. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Hardwick View →

  3. August 2015Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 29 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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