CQC report explained · a residential care home
What the CQC found at Henrietta House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable recruitment checks, safe medicine administration and regular risk assessments. Infection control and incident monitoring were also in place.
- 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
- The home had an open, inclusive culture and staff felt able to raise concerns. Audits, meetings and feedback were used to monitor and improve care.
What inspectors found, November 2023
Rated Good; inspectors found safe care, enough staff and open management, but this was a focused inspection of Safe and Well-led only.
Inspectors visited without notice on 8 November 2023. They spoke with people, relatives, staff and a visiting healthcare professional. They also checked care records, medicine records, recruitment files, training records and management audits.
The home was rated Good for Safe and Well-led. Inspectors found enough suitably trained staff, safe medicine systems, infection control arrangements and regular checks on risks and incidents. People said they felt safe and staff knew them well.
The home was also found to have an open and inclusive culture. People, relatives and staff could give feedback, and the provider used this to make improvements. The overall Good rating remained the same as at the previous inspection in 2017.
This was a focused inspection. Inspectors reviewed Safe and Well-led only. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection.
Safe medicines
Staff were trained and checked as competent to give medicines. Records were completed accurately, medicines were stored securely and there were clear arrangements for medicines taken when needed.
“Medicines were stored securely, and Medication Administration Records (MAR) were completed accurately after each person had received their medication.” from the report
Good support and relationships
Staff knew people well and supported them when they were distressed or anxious. Inspectors saw positive interactions and found good working relationships with outside health professionals.
“There was a culture of openness, transparency and inclusion amongst staff and people using the service.” from the report
Feedback used to improve care
People, relatives and staff had regular meetings and surveys. Records showed that suggestions were considered and acted on.
“This meant that the provider enabled people, relatives, and staff to give feedback which was used to develop the delivery of care.” from the report
Inspectors raised no specific concerns in this report.
- 01What has changed in the areas not reviewed during this focused inspection, especially Effective, Caring and Responsive?
- 02How often will my relative's risk assessments be reviewed if their needs or health change?
- 03How do you check that medicines taken when needed are given and recorded correctly?
- 04How do you use feedback from relatives and residents to make changes?
- 05How would you support my relative if they became distressed or anxious?
This was an unannounced focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive carried over from the previous inspection. This explanation was written from the published report of 18 November 2023 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, February 2021
Inspected but not rated; inspectors found good infection control arrangements during a targeted COVID-19 inspection.
This was a targeted, announced inspection of infection prevention and control arrangements during the coronavirus pandemic. Inspectors looked at how the home managed visitors, social distancing, admissions, PPE, testing, hygiene and outbreaks.
Inspectors said they were assured that the home had suitable arrangements in all the infection control areas they checked. They saw staff using and disposing of PPE correctly.
The home was inspected but not rated. This means the visit did not provide a new overall quality rating. It focused only on infection prevention and control.
Infection control checks
The provider had added quality checks to make sure infection prevention practices were being followed.
“The provider had introduced additional quality assurance processes to ensure robust infection prevention control practises were applied in the home.” from the report
Correct PPE use
Inspectors observed staff putting on, using and disposing of PPE correctly.
“We observed staff wearing and disposing of personal protective equipment (PPE) correctly.” from the report
Testing and bank staff
The provider checked that bank staff did not work elsewhere and included them in weekly COVID-19 testing.
“Assurance had been sought that bank staff did not work elsewhere and were included in the weekly COVID-19 testing of staff.” from the report
Use of audits
The provider used audit results to make environmental improvements and plan refurbishments.
“The provider used findings from audits to make improvements within the environment and plan refurbishments.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently prevented from catching or spreading infections?
- 02How often are staff and residents tested, and does this include bank staff?
- 03Do any bank staff work in other care settings, and how is this checked?
- 04What PPE rules must staff follow, and how do managers check that these are followed?
- 05What changes have been made to the building or refurbishment plans as a result of recent audits?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated, so this report does not give new ratings for the other areas of care. This explanation was written from the published report of 26 February 2021 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 Henrietta House
3 rated inspections over 8 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- December 2017Goodstayed GoodSafe: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 16 November 2010.
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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Most charge £980 to £1,260 a week. 76 can care for a couple. 12 years' experience on average.
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