Hadrian House

Updated 25 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Hadrian House is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hadrian House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A manager has been in post for 6 months and has submitted an application to register.

The manager application was subsequently approved, which means the service has a registered manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people using the service and 1 relative. We spoke with the manager, a care team leader, a care assistant, a member of the housekeeping team and the operations manager. We sought the views of a health care professional via e-mail. We reviewed a range of records. This included 4 people's care records and multiple medication records.

We looked at 3 staff files in relation to recruitment and a variety of records relating to the management of the service. Following our site visit the provider continued to provide information, which included data to support quality assurance and staff training.

Updated 25 August 2023

About the service

Hadrian House is a care home providing accommodation and personal care for up to 43 people with mental health, sensory impairment, physical disabilities who may also be living with dementia. At the time of our inspection 39 people were using the service. Accommodation is provided over the ground and first floor with communal lounges and dining areas being located on both floors.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

Potential risks related to people's care, health and welfare were assessed and kept under review. People's records included clear guidance for staff, as to how people's needs were to be met to promote their health, welfare and safety.

Systems and processes for the reporting of safeguarding concerns, were in place and were understood by staff. Lessons were learnt and improvements made through the analysis and reporting of accidents and incidents.

People's medicines were managed safely, supported by clear guidance and protocols.

Staff had undergone a robust recruitment process and had the necessary skills and experience. There were sufficient staff to meet people's needs.

External contractors maintained systems and equipment. The passenger lift which had not been working was being fixed at the time of the inspection. There were safe infection and preventions measures in place.

The manager was committed to providing good quality care for people. Staff spoke positively of the support, guidance and approachability of the manager, and of the positive impact of the changes they had introduced.

Quality monitoring through internal audits and oversight had improved, with regular team meetings to support the sharing of information. Plans were put into place where improvements were needed and were monitored for progress.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 19 February 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We undertook a focused inspection to review the key questions of Safe and Well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained Good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hadrian House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.