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CQC report explained · a nursing home

What the CQC found at Harewood Park

Goodpublished 12 November 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe and staff understood people’s risks. Inspectors found medication stock and recording errors, but there was no impact on people and an action plan was provided afterwards.
Effective?
Good
People’s needs were assessed and reviewed. Staff received training, people had access to health professionals and the home supported nutrition, rehabilitation and independence.
Caring?
Good
Staff were kind and respectful. People were supported to make choices, keep in touch with family and friends, maintain privacy and develop independence.
Responsive?
Good
Care plans reflected people’s needs and preferences. The home offered activities, community access and support with communication, and complaints were acted on.
Well-led?
Good
The manager was approachable and systems were in place to monitor quality and safety. The manager was not registered with the CQC at the time but was going through the registration process.
The latest report, explained

What inspectors found, November 2019

Harewood Park was rated Good overall; inspectors found kind, person-centred care, but saw medication recording errors.

Inspectors made an unannounced visit on 25 and 26 September 2019. They spoke with six people, seven staff members and reviewed care, medicines, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe, were treated with respect and had enough staff support.

Inspectors found personalised care, support with health needs, activities in the community and opportunities to build independence. Complaints were acted on, and people’s suggestions had led to changes.

There were some medication stock and recording errors, although these had not affected people. After the inspection, the manager sent an action plan and introduced further quality checks. The previous inspection rating was also Good.

What inspectors praised
  • Kind and respectful care

    People were treated with kindness and their privacy, dignity and choices were respected.

    “Staff treated people in a kind and caring way.” from the report
  • Safety and risk support

    Staff knew people’s risks and followed care plans intended to keep them safe. People told inspectors they felt safe in the home.

    “People told us they felt safe living at Harewood Park.” from the report
  • Health and rehabilitation

    People were supported to access health services and develop daily living skills, including cooking and preparing meals.

    “The main house had a training kitchen which was used to support people with daily life skills, such as cooking, thus having a positive impact on people's rehabilitation.” from the report
  • Choice and community life

    People could choose from activities, access the community, go on trips and volunteer locally. Their suggestions were acted on.

    “People were supported to access the community and take part in activities they enjoyed.” from the report
What inspectors were concerned about
  • Medication records

    serious

    Inspectors saw several errors involving medication stock and recording. These had not affected people, but the manager needed to introduce better checks and sent an action plan after the inspection.

    “During the inspection we saw a number of medication errors in regard to medication stock and recording. However, this had not impacted on people.” from the report
  • Recording end of life wishes

    minor

    The manager said more work was needed to record people’s end of life wishes. No one was nearing the end of life during the inspection.

    “The manager told us they felt they needed to work a little more in recording peoples' end of life wishes” from the report
Questions to ask them, based on this report
  1. 01What changes were made to medication stock and recording after the errors found at the inspection?
  2. 02How are medication checks carried out now, and who reviews the results?
  3. 03How do you record and regularly update each person’s end of life wishes?
  4. 04What is the current position on the manager’s CQC registration?
  5. 05How are people supported to build independence and move back into the community where this is suitable?

This was an unannounced planned inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 12 November 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.

An earlier report, explained

What inspectors found, December 2016

Harewood Park is rated Good; inspectors found safe, kind and personalised care across all five areas.

Inspectors visited without warning on 17 November 2016. They spoke with people living in the home, staff, the manager and health professionals. They observed care, checked five care records and reviewed quality and safety records.

The inspectors found that people were safe and received their medicines as prescribed. Staff understood people's risks, had suitable training and were available when people needed support.

People were treated with kindness, dignity and respect. They were involved in decisions about their care, activities and daily lives. The home supported people to build skills for greater independence, including cooking, shopping and managing money.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection under the current inspection process, so the report does not provide an earlier rating for comparison.

What inspectors praised
  • Protection from harm

    Staff knew how to recognise abuse and respond to concerns. Individual risks were assessed and staff knew how to support people safely.

    “People were supported by staff who knew how to recognise abuse and how to respond to concerns.” from the report
  • Personalised care

    People were involved in planning their support. Their preferences, likes and dislikes were recorded, and plans were changed when needs changed.

    “People were involved in planning and making choices about their care and support.” from the report
  • Kind and respectful staff

    Inspectors saw staff treating people with kindness and respect. People’s privacy, dignity and choices were supported.

    “We observed staff interactions with people and we saw staff were kind and caring to people when they were supporting them.” from the report
  • Building independence

    People were supported to develop everyday skills and prepare for more independent living. This included cooking, shopping, cleaning and managing money.

    “The cottage is more about becoming independent and getting ready for getting your own property.” from the report
  • Listening and improvement

    People and staff could suggest changes. The home used meetings, surveys, audits and reviews of incidents to improve the service.

    “There were systems in place to monitor and improve the quality of 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 will you assess and manage my relative’s specific risks, including any risk of self-harm or distress?
  2. 02How will my relative be involved in writing and reviewing their support plan?
  3. 03What support would my relative receive to develop daily living skills and move towards greater independence?
  4. 04How are medicines reviewed when a person’s mental health or needs change?
  5. 05How can my relative or family raise a concern, and how will you keep us informed about the response?

This was an unannounced inspection of the overall service, covering all five CQC questions and including observations, discussions, care records and quality checks. This explanation was written from the published report of 20 December 2016 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 Harewood Park

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

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

    Read what inspectors found at Harewood Park →

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

    Read what inspectors found at Harewood Park →

  3. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2011

    Registered with the Care Quality Commission on 17 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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