CQC report explained · a nursing home
What the CQC found at Hatchmoor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2020
Inspected but not rated; inspectors found strong infection control measures during the COVID-19 pandemic.
This was an announced, targeted inspection on 27 August 2020. It looked only at infection prevention and control measures as part of a national COVID-19 review.
Inspectors were assured that the home controlled visitors, admissions, social distancing, testing and personal protective equipment. They also found clear hygiene signs and a robust cleaning programme.
People were supported to keep in touch with relatives through video calls, telephone calls and planned visits. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor safety
Visits had to be arranged in advance. Visitors completed health checks, had their temperature taken, washed their hands and used protective equipment.
“All visitors to the service were only allowed to enter if they had pre-arranged their visit and followed the services guidelines and protocols.” from the report
Safe admissions
New people were tested for COVID-19 and had to isolate in their bedroom for 14 days after admission.
“There was a strict protocol for new admissions which included ensuring the person had been tested for COVID and an agreement they would need to isolate in their bedroom for 14 days.” from the report
Keeping people connected
People could stay in contact with family and friends through video calls, telephone calls and planned visits.
“People were enabled to stay in touch with family and friends via face time video calls, phone calls and planned visits which were organised twice a week.” from the report
Cleaning
Inspectors described the cleaning arrangements as robust, including deep cleaning rooms on a planned rotation.
“The cleaning regime was robust and included deep cleaning of rooms on a rotational basis.” from the report
Further development suggested
minorInspectors signposted the provider to resources to develop its approach. The report does not say that this was a breach or explain exactly what needed improving.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What has changed in your infection prevention and control arrangements since the inspection on 27 August 2020?
- 02How do you currently manage visitors, including health checks, handwashing, protective equipment and planned visits?
- 03How do you test new residents and manage any required bedroom isolation after admission?
- 04What action did you take after CQC signposted resources to develop your infection control approach?
- 05How often are rooms deep cleaned, and how do you check that cleaning is completed?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 9 September 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.
What inspectors found, November 2017
Hatchmoor Nursing Home was rated Good; inspectors found safe, kind and responsive care, but medicines records were not always complete.
This was a comprehensive inspection over 18 and 20 September 2017. It was unannounced on the first day and announced on the second. Inspectors spoke with people living there, visitors, staff and health professionals. They also reviewed care plans, medicines records, staff files, complaints, incidents and safety records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, good support with health needs, kind care and a range of activities. People and relatives were generally positive about the home.
There were some areas to improve. Medicines records did not always explain when some medicines should be given, and records for creams were incomplete. Inspectors also found unlocked harmful chemicals on the first day, one confidentiality concern and some training and food and fluid recording that needed attention. The chemicals were being secured by the second day.
Enough staff
Inspectors found appropriate staffing levels and saw staff available in communal areas. The home adjusted staffing when people's needs changed.
“There were appropriate numbers of staff to ensure that people's needs were met.” from the report
Kind care
Staff were attentive and treated people with warmth, dignity and respect. Inspectors observed calm and reassuring interactions.
“The service provided a warm, friendly and welcoming atmosphere.” from the report
Personalised support
Care plans included people's routines, preferences and health needs. People and relatives were involved in decisions about care.
“People, where able, confirmed they were involved in making decisions about their lives and their care and support.” from the report
Activities and social contact
The home offered group and one-to-one activities based on people's interests and past lives. This included creative, cultural and social opportunities.
“People were supported to take part in a range of activities and there was a programme of activities and events planned.” from the report
Open management
Inspectors found visible management, regular audits and opportunities for people and relatives to give feedback. Identified issues were generally followed up.
“There were systems in place to ensure the quality of care.” from the report
Medicines records
needs fixingSome care plans did not clearly say when 'as required' medicines should be given. It was also unclear why one person's medicines were crushed, and records for creams had gaps.
“There was some information available in people's care plans about these medicines, but they did not always specify the circumstances in which a dose would need to be given.” from the report
Chemical storage
seriousHarmful chemicals were found in an unlocked sluice on the first inspection day. The home began fitting keypad locks by the second day.
“On the first day of the inspection we found harmful chemicals were being stored in an unlocked sluice.” from the report
Confidentiality
minorInspectors heard staff discussing a person's care needs where other people could hear. Management agreed to remind staff about confidentiality.
“However on one occasion we heard staff discussing the care needs of one person in the communal area, where their conversation could be overheard by others.” from the report
Food and fluid records
needs fixingSome food and fluid charts did not contain full details of what people had eaten or drunk. The manager said these records would be reviewed.
“These had not always been completed with full details of what the individual had to eat or drink to ensure they were receiving sufficient diet and fluids.” from the report
Refresher training
needs fixingSome essential training, including infection control and food hygiene, was due to be updated. Training sessions had been arranged for the following months.
“The training matrix showed that some core essential training was due to be up-dated, for example infection control and food hygiene.” from the report
- 01What changes have you made to ensure 'as required' medicines have clear instructions about when they should be given?
- 02How do you now check medicines that are crushed, and how do you record creams and other external medicines?
- 03How do you make sure harmful chemicals and medicines remain securely stored?
- 04Have infection control and food hygiene refresher training been completed for all relevant staff?
- 05How do you check that food and fluid charts are completed fully when they are needed?
This was a comprehensive inspection covering all five key questions; the home remained Good in all five areas, as it had been at the January 2015 inspection. This explanation was written from the published report of 16 November 2017 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 Hatchmoor Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 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.
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