CQC report explained · a nursing home
What the CQC found at The Hawthorns (Evesham)
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found safe recruitment, suitable staffing levels, safe medicines practice and good infection control. Risk assessments supported people's independence and positive risk-taking.
- Effective?
- Outstanding
- Care was tailored to people's needs and staff were well trained and supported. The home worked closely with health professionals and offered flexible food and eating arrangements.
- Caring?
- Outstanding
- Staff treated people with exceptional kindness, dignity and respect. People and relatives were actively involved in decisions and in the running of the home.
- Responsive?
- Outstanding
- Activities, care plans and support were highly personalised. The home helped people maintain relationships and responded creatively to distress, anxiety and changing needs.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership, an open culture and strong systems for learning from incidents and improving care. Staff, relatives and outside professionals spoke very positively about the service.
What inspectors found, March 2019
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safety rated Good.
Inspectors made an unannounced visit on 5 February 2019. They spoke with people, relatives, staff and health professionals. They reviewed care files, staff records, medicines, accidents, complaints and quality checks.
The home supported up to 47 people with dementia or an acquired brain injury. Inspectors found kind, person-centred care, high staffing levels and strong support for people's choices and independence. Medicines were administered safely, and staff were working to reduce unnecessary antipsychotic medicines.
The overall rating was Outstanding. Effective, caring, responsive and well-led were all rated Outstanding. Safe was rated Good, which means the legal requirements for safety were met, but this area was not judged exceptional.
The previous rating was Good, published in March 2016. This inspection was scheduled because of that earlier rating. The report says CQC would continue monitoring information about the service until its next inspection.
Kind and respectful care
Staff showed exceptional kindness and understood people as individuals. Inspectors saw people being treated with dignity and included in everyday life.
“Staff demonstrated an exceptionally high level of kind and supportive care.” from the report
Personalised support
Care plans and activities reflected people's histories, interests, communication needs and choices. Staff used creative approaches to reduce distress and support independence.
“There was a truly holistic approach to planning, and delivering care and support.” from the report
Strong activities programme
People had individual activity timetables and could take part in activities suited to their abilities and interests. Activities included music, sensory sessions and meaningful tasks.
“Extensive person-centred activities took place every day.” from the report
Support for families
Relatives were involved in care planning, meetings and service development. The home also supported people to maintain family relationships and attend important events.
“People and their relatives were actively supported to express their views and were fully involved with the running of the service and attended monthly meetings.” from the report
Learning and improvement
The home reviewed incidents, accidents, falls, weight loss and complaints to identify patterns and reduce the chance of problems happening again.
“Incidents and accidents, falls, weight loss and complaints were discussed during team meetings and group supervisions to reduce the likelihood of these incidents reoccurring” from the report
Inspectors raised no specific concerns in this report.
- 01How has the electronic medicines administration system developed since this inspection, and how are medicines checked now?
- 02How do you identify triggers for distress and decide whether antipsychotic or other as-needed medicines can be reduced?
- 03How would you create an individual activity timetable for my relative based on their past interests and abilities?
- 04How do you assess staffing levels if my relative needs extra one-to-one support?
- 05How are advanced care plans discussed and kept up to date with people and their families?
This was an unannounced scheduled inspection that looked at the overall service and all five rating areas. This explanation was written from the published report of 19 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.
Every inspection of The Hawthorns (Evesham)
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- March 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- April 2013
Registered with the Care Quality Commission on 1 April 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Worcestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.