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CQC report explained · a residential care home

What the CQC found at Hastings Residential Care Home

Goodpublished 6 June 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Medicines were generally managed safely, but daily recorded checks were missing for two people's pain relief patches.
Effective?
Good
Staff had training and support, people received suitable food and healthcare, and consent and mental capacity processes were followed.
Caring?
Good
People and relatives praised staff's kindness. Inspectors saw people treated with dignity and respect and supported to make choices and remain independent.
Responsive?
Good
Care plans reflected people's needs and preferences, and activities were available. The home had improved its response times since the previous inspection.
Well-led?
Good
The home had approachable management, a positive culture and quality checks aimed at finding and fixing problems.
The latest report, explained

What inspectors found, June 2019

Rated Good; inspectors found kind, safe and person-centred care, with minor gaps in medicine and care records.

Inspectors visited on 8 May 2019. They spoke with people living at the home, relatives, staff and health professionals. They observed care and checked care plans, medicine records, recruitment files and quality checks.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were described as safe, treated with dignity and supported to make choices. Staff supported people's independence, health needs, communication and end of life wishes.

There were some minor record-keeping gaps. Daily checks were not recorded for two people's pain relief patches, although inspectors found no impact on people. More information was also needed in one person's care record about a pacemaker, and this was added immediately.

The home had improved since the previous comprehensive inspection in 2016. Responsive care had previously been rated Requires Improvement because people sometimes waited too long for staff. At this inspection, staffing and call bell response times were monitored, and inspectors did not see unreasonable delays.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke highly of staff. Inspectors saw staff communicate warmly, protect privacy and support people's dignity.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Safer response times

    The home monitored call bell response times and staffing levels. Inspectors did not see people waiting unreasonably for support.

    “This work had been successful as people who lived at the home, relatives and staff were more confident people did not have to wait for long periods for staff support to respond to their needs.” from the report
  • Good management oversight

    The home used regular checks, staff meetings and improvement plans to monitor care and safety.

    “The provider promoted strong effective systems and processes to monitor and improve quality and safety.” from the report
What inspectors were concerned about
  • Medicine patch checks

    needs fixing

    Daily checks were not recorded for two people's pain relief patches. Inspectors found no impact on people, but this is a gap in the medicine records.

    “However, there were no daily recorded medicine checks on two people's pain relief patches to ensure these remained in place.” from the report
  • Care record detail

    minor

    One person's record needed more information about their pacemaker. The manager accepted this and added the information immediately.

    “The registered manager acknowledged further information would be beneficial for staff although there was no impact on the person.” from the report
Questions to ask them, based on this report
  1. 01How do you check that pain relief patches remain in place, and how are those checks recorded?
  2. 02How quickly do staff usually respond to call bells, including at night?
  3. 03How are new health details, such as a pacemaker, added to and shared through a person's care plan?
  4. 04How will you make sure care plans continue to reflect changes in needs and preferences?
  5. 05What activities are available for someone with my relative's interests, communication needs and level of independence?

This was a planned inspection of the whole care home and all five key questions were rated. This explanation was written from the published report of 6 June 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.

The story over the years

Every inspection of Hastings Residential Care Home

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

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

    Read what inspectors found at Hastings Residential Care Home →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 10 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

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Worcestershire

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 £1,260 a week. 85 can care for a couple. 9 years' experience on average.

“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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See live-in carers near WorcestershireProfiles, rates and reviews are free to look at.

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