CQC report explained · a residential care home
What the CQC found at Hatton Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and there were enough staff to meet their needs. However, some cleaning products and thickening agents were stored in unlocked communal cupboards, and some risk assessments were not up to date.
- Effective?
- Good
- People's health, nutrition and support needs were assessed, and staff received training and regular supervision. People had access to health professionals, although views about the food were mixed.
- Caring?
- Good
- Inspectors saw sensitive and caring interactions. People and relatives said staff were friendly, respectful and helpful, and people were supported to express their views.
- Responsive?
- Good
- Care records reflected people's routines, likes and dislikes, but did not always show who had been involved in preparing or reviewing them. Activities were provided, but people wanted more entertainment and trips out.
- Well-led?
- Good
- People, relatives and staff were asked for their views, and governance systems and action plans were in place. Staff said the management team was supportive and approachable.
What inspectors found, October 2022
Hatton Grange was rated Good overall; inspectors found kind, safe care, but asked for better risk reviews and clearer care-planning records.
Inspectors visited on 12 and 14 September 2022 without announcing the visits. They spoke with people, relatives and staff, reviewed care and medicines records, observed care and medicines administration, and toured the building.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People generally felt safe and well cared for. There were enough staff, medicines were managed safely, and staff had suitable training and support.
Inspectors found some areas to improve. Some environmental risks had not been dealt with properly, two risk assessments needed updating, and records did not always show who had helped with care planning. People also wanted more varied activities.
Enough staff
Inspectors found staffing levels matched people's assessed needs. This was an improvement since the previous inspection.
“There was enough staff on duty to meet people's needs.” from the report
Kind and respectful care
People and relatives described staff as caring and friendly. Inspectors also observed sensitive interactions.
“We observed sensitive and caring interactions between staff and people who live in the service.” from the report
Good health support
People were supported to eat and drink safely and to access health professionals. Staff understood how other professionals supported people's care.
“People were supported to have access to a range of health professionals.” from the report
Open management
The home sought views through meetings and surveys, used audits and action plans, and had systems for learning from incidents.
“Governance systems and processes were in place.” from the report
Risk records and environmental safety
needs fixingSome areas needed repair and environmental risk controls were not always followed. Inspectors also found two individual risk assessments that needed updating. The home took immediate action, and inspectors recommended regular reviews.
“The environment needed some repair and environmental risk assessments were not always being followed.” from the report
Care-planning involvement
needs fixingCare records were person-centred, but it was not always clear whether people and relatives had been involved in completing or reviewing them. Inspectors made a recommendation about recording this involvement.
“However, it was not always clear who had been involved in completing these records.” from the report
Limited activities
minorActivities were available, but some people and relatives wanted more entertainment, trips out and variety. The provider said it was exploring more activities.
“There used to be a lot more entertainment and trips out I enjoyed going out and would like that again” from the report
Complaint experience
needs fixingThe home had a complaints process and evidence showed complaints were investigated. However, one relative said they did not feel listened to and found some responses upsetting and intimidating.
“I have made several complaints and do not feel I am being listened to.” from the report
Minor medicines recording gaps
minorMedicines were managed safely overall, but cream application charts had some gaps and creams were not always dated when opened. The provider said this was addressed immediately.
“Creams were not always dated on opening.” from the report
- 01How often are each person's risk assessments reviewed and updated, and how do you check that staff follow environmental safety procedures?
- 02How will you record the involvement of the person and their relatives in care-plan reviews?
- 03What additional activities and trips are now available, and how are people's preferences used to plan them?
- 04How are complaints handled now, and how do you check that relatives feel listened to?
- 05What checks are in place to ensure creams are dated when opened and all applications are recorded?
The inspection covered all five key questions and included infection prevention and control; the report says the previous inspection was the last comprehensive inspection. This explanation was written from the published report of 25 October 2022 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 Hatton Grange
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- October 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2021
Registered with the Care Quality Commission on 6 May 2021.
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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