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CQC report explained · a nursing home

What the CQC found at Hatch Mill

Goodpublished 13 June 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infection risks. This included visitor checks, social distancing, safe admissions, use of personal protective equipment, testing, cleaning and an up-to-date infection control policy.
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.
The latest report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors were assured that infection prevention and control measures were being followed.

This was an announced inspection on 10 November 2020. It was part of a CQC thematic review of infection prevention and control in care homes during the coronavirus pandemic.

Inspectors found several measures to reduce infection risks. Visitors used hand gel, wore masks and had their temperature checked. The home increased cleaning, provided personal protective equipment and arranged separate staff teams for each floor.

People could keep in touch with family and friends through telephone calls, video calls and window visits. New residents were supported to self-isolate when they moved in.

The home was inspected but not rated. This visit focused on infection prevention and control, rather than giving a new overall quality rating.

What inspectors praised
  • Visitor infection checks

    Visitors were required to leave contact details, use hand gel, wear a face mask and have their temperature checked before entering.

    “Visitors were asked to use hand gel, wear a face mask and have their temperature checked before entering the main building.” from the report
  • Family contact

    People were supported to stay in touch with family and friends through calls, video calls and window visits.

    “People had contact with family and friends by telephone, video calls and window visits.” from the report
  • Separate staff teams

    Staff teams were allocated to particular floors. This included care, housekeeping and kitchen staff.

    “Staff worked in teams which were allocated to either the ground or first floor.” from the report
  • Safer admissions

    New residents were supported to self-isolate and had specific care staff allocated to them when they first arrived.

    “New people moving into the home were supported to self isolate when they first moved in.” 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 are visitors currently checked before entering the home?
  2. 02How are new residents supported to self-isolate when they first move in?
  3. 03How often are residents and staff tested for infections?
  4. 04How are family visits arranged, and how are changes to visiting rules communicated?
  5. 05How are cleaning and personal protective equipment arrangements monitored?

This was an announced thematic review of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated. This explanation was written from the published report of 9 December 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 2019

Hatch Mill was rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.

This was an unannounced comprehensive inspection on 03 May 2019. Inspectors spoke with people living in the home, relatives, staff and managers. They reviewed care plans, medicines records, risk assessments, complaints, staff files, training records and audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training and good support for people's health needs.

People described staff as kind and respectful. Care was personalised, people were involved in decisions, and there were varied activities and outings. The home also had plans for people's end of life care.

The previous inspection, published in April 2018, rated the home Requires Improvement. Inspectors found that action had been taken to improve risk monitoring, diabetes care records and food arrangements. At this inspection, the legal requirements were met.

What inspectors praised
  • Safe staffing

    People said there were enough staff, and inspectors saw staff respond promptly to requests for support. Staffing numbers were reviewed against people's needs.

    “There's always somebody around. If I need any help, I just press my bell and they come.” from the report
  • Safe medicines

    Medicines were stored, administered and recorded safely. Inspectors found no gaps in medicines administration records and saw clear guidance for medicines given when needed.

    “Medicine administration records (MARs) were up to date with no gaps.” from the report
  • Kind and respectful care

    Staff treated people with kindness and respect. They supported people to make choices and do as much as they could for themselves.

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

    Care plans included people's preferences, interests, backgrounds and abilities. Activities and daily care were adapted to individual needs.

    “Care was planned in a personalised way. People's care plans contained enough detail to inform staff about people's care needs” from the report
  • Improvements since the last inspection

    The home acted on earlier concerns about risk monitoring, diabetes records and food. Inspectors found that the required improvements had been made.

    “At this inspection, action had been taken to ensure the characteristics of a Good rating were met.” 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 are staffing numbers changed when a resident's care needs increase?
  2. 02How is the new diabetes risk tool used and reviewed for people living with diabetes?
  3. 03How are people's food preferences and special dietary needs checked and updated?
  4. 04How would you support my relative to take part in activities if they do not enjoy group activities?
  5. 05How are care plans, medicines records and risk assessments audited and kept up to date?

This was an unannounced comprehensive inspection covering the home, the care provided and all five CQC questions. This explanation was written from the published report of 13 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 Hatch Mill

2 rated inspections over a year: the service has improved, from Requires improvement to Good.

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Hatch Mill →

  2. June 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hatch Mill →

  3. April 2018Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2016

    Registered with the Care Quality Commission on 21 September 2016.

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

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Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.

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