What the CQC found at Hatherley Care Home Limited

The home had addressed the medicine and risk-management problems identified at the previous inspection. Inspectors found medicines, risk assessments and equipment checks were being managed safely.

“At this inspection we found that improvements had been made and the service was now meeting the requirements.” from the report

People had positive relationships with staff. Inspectors saw staff being patient, kind and respectful, while supporting privacy, choice and independence.

“We observed warm and caring interactions between staff and people using the service.” from the report

Staff understood people's needs, preferences and changes in health. Handover arrangements helped staff share important information.

“Staff knew people well and could tell us about their needs and what they enjoyed.” from the report

The manager was experienced and visible. Residents, relatives and staff spoke positively about the management team and staff worked well together.

“Staff morale was good and staff told us that there was a good team who worked together.” from the report

Residents could take part in activities and community visits. The home supported people to maintain familiar relationships and interests.

“People told us that they had good access to a range of interesting activities in which they could choose to participate.” from the report

Some residents said they had to wait for help at busy times, although delays were usually described as short and inspectors saw call bells answered promptly.

“Some people told us that they had to wait at busy times but understood that there were a lot of people who needed help and delays were not excessive.” from the report

Parts of the building looked tired and some corridors had poor lighting. The manager said upgrading work was planned or already underway.

“The environment was tired in places and some of the lighting in corridors was low.” from the report

Fluid charts were not used consistently for people who were unwell or whose health was deteriorating. The manager agreed to act on this immediately.

“Staff recorded in people's daily notes when people were offered drinks but were not consistently using fluid charts when people's health was deteriorating or they were unwell.” from the report

The inspection found that infection control checks needed closer scrutiny. The home was recommended to seek advice on developing these audits.

“We have recommended that they seek advice from a reputable source on developing infection control audits.” from the report

Inspectors found that some care plans could give more information about diabetes and how it affected people, although staff knew residents well and risks were reduced.

“There were some areas where further information could have been provided, such on diabetes and how it impacted on people” from the report