CQC report explained · a residential care home
What the CQC found at Hartlands Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home managed infection risks, including visitors, PPE, testing, cleaning, admissions and outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2021
Hartlands Residential Home was inspected but not rated; inspectors found good infection-control arrangements during the pandemic.
This was an announced, targeted inspection on 9 March 2021. Inspectors checked how the home was preventing and controlling coronavirus infections.
Inspectors found visitors were screened before entering. The home had risk assessments for people at higher risk, safe admissions arrangements, cleaning routines, PPE checks and access to testing.
The home was rated “Inspected but not rated”. This means the visit checked infection prevention and control, rather than giving a full rating for all aspects of care.
Visitor safety
Visitors were screened for coronavirus symptoms before entering, and visits had restarted in line with changed guidance.
“Visitors were screened for symptoms of Covid-19 before entering the home.” from the report
Risk assessments
The home had coronavirus risk assessments for people and staff, including extra measures for people considered to be at higher risk.
“The registered manager had implemented a coronavirus risk assessment for people and staff to ensure people who were deemed high risk had measures in place to stay safe.” from the report
Cleaning and checks
The environment was clean, with designated cleaning areas. The home also carried out infection-control audits and checks on PPE use.
“The registered manager completed a range of audits and competencies around infection prevention control which included, a daily COVID-19 checklist and observations around staff wearing PPE.” from the report
Testing access
People living at the home, staff and visitors had access to coronavirus testing in line with government guidance.
“Staff and people had access to COVID19 testing. All visitors would be tested in line with government guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened and tested before entering the home?
- 02How are people at higher risk identified, and how are their individual safety measures reviewed?
- 03How often are PPE use, cleaning and infection-control practices checked now?
- 04What testing is currently available for residents, staff and visitors?
- 05How does the home manage new admissions and possible infection outbreaks?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic, and the service was inspected but not rated overall. This explanation was written from the published report of 20 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, March 2019
Rated Good; inspectors found safe, kind and personalised care, with some preferences not always recorded.
This was an unannounced inspection on 1 March 2019. Inspectors spoke with 11 people living in the home, three relatives and several staff. They reviewed care and medicine records, staff recruitment files, training records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine processes, detailed care plans, good food and warm relationships between staff and people living there.
People were supported to make choices and take part in activities. Staff worked with health professionals and understood people's needs, including people living with dementia. Inspectors noted that people's preferences were not always written down, but the manager had started taking action during the inspection.
The overall Good rating means the service met the legal requirements and provided consistently good care at the time of this inspection. The previous inspection in September 2016 also rated the service Good.
Kind and respectful care
Inspectors saw warm relationships and staff supporting people patiently and discreetly. People were helped to retain their dignity and make choices.
“We observed lots of warm, positive interactions between staff and people who lived in the home.” from the report
Safe staffing and medicines
There were enough staff to meet people's needs, and staff responded promptly. Medicine administration was observed to be safe and audits showed improvements.
“We looked at staff rotas and saw that there were adequate staff on duty to meet people's needs.” from the report
Good food and nutrition support
Inspectors found the food appetising, plentiful and good quality. Staff supported people discreetly and monitored weights so they could respond to weight loss.
“The food served at the home was of a very high standard.” from the report
Activities and community links
People could take part in activities, day trips and community events. Inspectors saw people enjoying an activity and joining in at their own level.
“Lots of activities were provided in the home.” from the report
Some preferences were not recorded
minorStaff knew people's routines and preferences, but inspectors could not always find these written in care records. The manager had started working with staff to improve this before the inspection ended.
“It was obvious that staff knew about people's routines throughout the day and their preferences about how they liked to be cared for however, we could not always see these preferences recorded.” from the report
- 01How do you make sure each person's daily routines and preferences are recorded in their care plan?
- 02What changes were made after inspectors found that some preferences were not written down?
- 03How do you make sure there are enough staff to respond promptly to people's requests?
- 04Which activities and trips are currently available, and how are they matched to each person's interests?
- 05How are relatives involved when a person's care needs or wishes change?
This was an unannounced inspection covering all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 15 March 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 Hartlands Residential Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 31 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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