CQC report explained · a nursing home
What the CQC found at Hartfield House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection prevention and COVID-19 safety practice.
This was an announced, targeted inspection on 26 February 2021. It focused on infection prevention and control measures during the COVID-19 pandemic.
Inspectors found the home was taking steps to prevent infections. They were assured about visitor safety, shielding and distancing, safe admissions, PPE, testing, hygiene, outbreak management and the infection control policy.
People isolating in their rooms received regular support with activities. Staff had infection control and COVID-19 training, and managers checked PPE and hand hygiene practices. Each person had a COVID-19 risk assessment that was reviewed regularly.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or full ratings for all five areas of care.
Support during isolation
People who had to stay in their rooms were supported to take part in activities they chose, including people who had recently moved in.
“People who had to isolate in their rooms received frequent support from staff to engage with activities of their choice.” from the report
Infection control training
Staff received regular training about infection prevention and COVID-19. Managers observed PPE use and hand hygiene.
“Staff received regular training specific to infection prevention and control and COVID-19.” from the report
Individual risk checks
Each person had an individual COVID-19 risk assessment, which was reviewed regularly to identify and address their particular risks.
“People living at the service had individual COVID-19 risk assessments which were regularly reviewed.” from the report
Wider professional support
The registered manager joined local forums with health and social care professionals to share ideas and support good practice during the pandemic.
“The registered manager took part in several local forums with other health and social care professionals to share ideas and support the service to follow best practice” from the report
Inspectors raised no specific concerns in this report.
- 01How often are each resident's infection risk assessments reviewed now?
- 02How do you check that staff use PPE correctly and follow hand hygiene procedures?
- 03How do you support residents with activities and contact with others if they need to isolate?
- 04How are new residents admitted safely and tested for infections?
- 05What is the current plan for preventing and managing an infection outbreak?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated overall and the other care areas were not assessed. This explanation was written from the published report of 26 March 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, October 2019
Rated Good; inspectors found safe, kind and personalised care, but activities and staffing levels needed continued monitoring.
This was the home's first inspection. It was unannounced and took place on 12 September 2019. Inspectors spoke with people living there, relatives and staff, observed care, and checked care, medicines, staffing and management records.
The overall rating was Good. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, supported by trained staff, treated with kindness and involved in decisions about their care.
There were two recommendations to keep under review. Staffing levels needed to be checked as more people moved in. Activities had reduced after staffing changes, and the home was asked to rebuild and sustain its earlier level of activities. Some end of life care records were also incomplete.
Safe care
Risks were assessed and managed. Medicines, infection control and emergency arrangements were also checked and found to be safely managed.
“People were safe and staff understood how to keep people safe from harm because risks to people's health and safety had been assessed and were well managed.” from the report
Kind and personal support
Staff spent time with people and knew about their lives, preferences and needs. Inspectors saw care being given calmly and respectfully.
“Staff took time to sit and talk with people, engaging them in conversations about current events, or talking about their lives and experiences.” from the report
Food and nutrition
People spoke positively about the food. Dietary needs were recorded, choices were offered and people's weights were monitored.
“People's dietary needs were identified in their individual care records, and support was given when needed.” from the report
Good management
The manager and staff team used audits, meetings and feedback to monitor care and make improvements.
“Quality assurance processes were in place. This included regular audits of medicines, health and safety and the environment.” from the report
Staffing as the home fills
needs fixingSome people said they sometimes waited for help. Staffing was adequate during the visit, but the manager was asked to keep reviewing levels as more people moved in.
“As the home was just over half full at the time of the inspection we recommend the registered manager continuous to review staffing levels and consider peoples' feedback as the home continues to fill with new admissions.” from the report
Reduced activities
needs fixingActivities had become less varied and frequent after changes in the activities team. The home was asked to restore the earlier level and make sure it could continue when the home was fuller.
“We recommend the provider continues to develop the activities provision within the home to return it to its earlier high quality and ensure this can be sustained as the home gets closer to being full.” from the report
End of life records
needs fixingSome end of life care information had not yet been fully recorded. Inspectors noted that staff were still waiting for information from relatives in some cases.
“We noted that the care records for end of life support were inconsistently completed.” from the report
- 01How many care staff are planned for each wing now, and how will this change as more people move in?
- 02What activities are currently available, and how do you make sure the timetable is delivered when activities staff are absent?
- 03How are each person's end of life wishes recorded, reviewed and shared with staff?
- 04How do you check that people are not waiting too long for help with washing, mobility or other daily needs?
This was the first inspection and covered all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 23 October 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.
Every inspection of Hartfield House Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2018
Registered with the Care Quality Commission on 17 September 2018.
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
77 live-in carers within about an hour of Surrey
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 £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.