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What the CQC found at Hinckley House Care Home

Goodpublished 11 March 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, medicines, infection control, risk assessments and safety checks were well managed.
Effective?
Good
This question was not assessed during this focused inspection.
Caring?
Good
This question was not assessed during this focused inspection, although inspectors observed positive interactions and person-centred care.
Responsive?
Good
This question was not assessed during this focused inspection.
Well-led?
Good
Inspectors found effective audits, action plans and oversight from the management team. Staff understood their responsibilities and incidents were reviewed for learning.
The latest report, explained

What inspectors found, March 2023

Hinckley House Care Home rated Good; inspectors found people safe and a well-run service, but some relatives wanted better communication.

This was an unannounced focused inspection on 11 January 2023. Inspectors looked only at Safe and Well-led because concerns had been raised about risk management and oversight. They spoke with staff, relatives and a person living in the home, observed care and reviewed care, medicine, staffing and management records.

The home was rated Good for Safe and Good for Well-led. Inspectors found enough trained staff, safe recruitment, safe medicines practice, up-to-date risk assessments and effective infection control. They found no evidence that the concerns raised had put people at risk of harm.

People and relatives generally said people were safe and well cared for. The home had systems to monitor quality, investigate incidents and make improvements. Some relatives said communication could be better, and the manager accepted this needed work.

The overall rating stayed Good, matching the previous rating published in March 2019. This inspection did not assess Effective, Caring or Responsive.

What inspectors praised
  • Enough trained staff

    Inspectors saw enough staff to meet people's needs safely and found a good mix of skills and abilities.

    “There were enough suitably trained and qualified staff to meet people's needs in a timely way.” from the report
  • Safe medicines

    Medicines were administered by trained staff and records showed that required protocols were followed.

    “People received their medicines as prescribed.” from the report
  • Risk management

    Risks were reviewed and care records were updated after incidents. The home used handovers and meetings to share lessons.

    “Risks to people were regularly reviewed and changes were made when necessary.” from the report
  • Strong oversight

    Regular audits and provider reviews helped the home identify concerns and monitor improvements.

    “Systems and processes were effective at identifying and managing risks to the quality of the service.” from the report
  • Welcoming visitors

    Visitors were allowed to come and go freely, with no restrictions on visiting during the inspection.

    “Visitors were welcomed into the home.” from the report
What inspectors were concerned about
  • Communication with relatives

    minor

    Some relatives felt communication could be improved. The manager acknowledged this and said the home would work on it.

    “We received feedback from some relatives who felt communication could be improved.” from the report
  • Equipment storage

    minor

    The home had identified a need for more equipment storage. Further facilities had been ordered and added to the management action plan.

    “It had been identified recently that further equipment storage facilities were required.” from the report
Questions to ask them, based on this report
  1. 01What specific changes have been made to improve communication with relatives?
  2. 02How will families be kept informed about changes in a person's care or wellbeing?
  3. 03Has the additional equipment storage now been provided, and how is this being checked?
  4. 04What were the concerns about risk management and governance that led to this inspection, and what action was taken?
  5. 05When will the home next review the areas not assessed in this focused inspection?

This was an unannounced focused inspection of Safe and Well-led only; the overall rating remained Good and Effective, Caring and Responsive were not assessed. This explanation was written from the published report of 11 March 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.

An earlier report, explained

What inspectors found, March 2019

Hinckley House Care Home was rated Good; inspectors found kind, safe care, with some records and recruitment checks needing attention.

This was an unannounced, planned inspection on 05 February 2019. Inspectors spoke with people living in the home, visitors, staff and a healthcare professional. They observed care and checked care records, medicine records, training, recruitment checks and quality audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and respect, received their medicines safely, had access to healthcare and were supported to take part in activities and make choices.

There were some smaller shortfalls. Employment histories had not always been fully explored during recruitment. Some emergency evacuation plans had not been reviewed for some time, and recommended daily fluid targets were not always recorded. The overall rating was unchanged from the previous inspection in 2016.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe, and staff understood their safeguarding responsibilities. Risks such as falls and eating and drinking had been assessed and managed.

    “People felt safe living at Hinckley House Care Home and with the staff team who supported them.” from the report
  • Kind and respectful care

    People spoke positively about staff. Inspectors saw staff listening to people's requests, protecting their privacy and offering emotional support.

    “People experienced positive caring relationships with the staff team. They told us staff members were kind and caring and they looked after them well.” from the report
  • Personalised support and activities

    Care plans included people's history, spiritual needs, hobbies and interests. The home offered a wide range of activities, including arts and crafts, films, visits and church services.

    “People were supported to follow their interests and take part in activities of their choice.” from the report
  • Good management and involvement

    The home had quality checks and involved people, relatives and staff in how it was run. Staff said they felt supported by the management team.

    “Monitoring systems were in place to monitor the quality and safety of the service.” from the report
What inspectors were concerned about
  • Recruitment records

    needs fixing

    Employment histories had not always been fully explored when new staff were recruited. Inspectors raised this with the manager for action.

    “We did note staff members employment history had not always been fully explored.” from the report
  • Emergency plans

    needs fixing

    Some people's personal emergency evacuation plans had not been reviewed for some time. The home said it was updating them.

    “We did note some PEEP's had not been reviewed for some time.” from the report
  • Fluid targets

    needs fixing

    For people at risk of not drinking enough, monitoring charts were used, but recommended fluid levels were not always recorded. This meant staff did not always have a daily target to aim for.

    “This meant the staff team did not have a daily fluid target to aim for.” from the report
Questions to ask them, based on this report
  1. 01Have all staff employment histories now been fully explored as part of recruitment checks?
  2. 02Have all personal emergency evacuation plans been reviewed and kept up to date?
  3. 03How are daily fluid targets set and recorded for people at risk of not drinking enough?
  4. 04How will you make sure care plans are updated promptly when a person's health or needs change?
  5. 05How are people and relatives involved in care reviews and decisions about activities and daily routines?

This was an unannounced planned inspection covering all five key questions, including the premises and the care provided; the previous 2016 Good rating remained unchanged. This explanation was written from the published report of 1 March 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 Hinckley House Care Home

4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. March 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hinckley House Care Home →

  2. March 2019Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Hinckley House Care Home →

  3. June 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2013

    Registered with the Care Quality Commission on 12 July 2013.

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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