Halstead Hall Care Home

Updated 25 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection was undertaken on 3 December 2018 and was unannounced. The inspection team consisted of two inspectors 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, and their expertise was in older people and dementia care.

This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team included a dental inspector who looked in detail at how well the service supported people with their oral health. This includes support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in 2019.

In advance of our inspection we reviewed the information we held on the service, in particular notifications about incidents, accidents and safeguarding information. A notification is information about important events which the service is required to send us by law. We looked at safeguarding concerns reported to us. This is where one or more person’s health, wellbeing or human rights may not have been properly protected and they may have suffered harm, abuse or neglect.

A Provider Information Return (PIR) was requested prior to the inspection. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan how the inspection should be conducted.

During our inspection, we observed how the staff interacted with people and we spent time observing the support and care provided to help us understand their experiences of living in the service. We observed care and support in the communal areas, the midday meal, and we looked around the service.

As part of the inspection, we spoke to ten people who used the service and five relatives. We spoke with seven care staff, a visiting health professional, the registered manager, clinical advisor and provider.

We reviewed a range of documents and records, including three sets of care records for people who used the service. We viewed the recruitment records of three staff who had recently been employed, complaints records, medication, accident and incident records. We looked at a range of quality audits and management records.

Updated 25 December 2018

Halstead Hall is registered to provide accommodation and personal care for up to 65 older people and people with dementia related needs. There were 24 people living at the service on the day of our inspection.

This was the first comprehensive inspection of this service with the new owners, Stow Healthcare Group Limited and was undertaken on 3 December 2018. The service was previously known as Attwood’s Manor Care Home and had a history of providing poor care, the Care Quality Commission took enforcement action against the previous providers. Stow Healthcare Group Limited, the new provider took over the management of the service approximately one year ago and their registration meant that people were able to stay in the service and did not have to move out.

This inspection on 03 December 2018 was unannounced and we planned to check on the changes that the new provider had made. We found they had invested in the service and in the staff. There was a strong ethos of personalised care and people were enabled to live full and interesting lives. The service and the people living in the service now benefited from outstanding leadership.

A registered manager was in place and was present on the day of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Risks were identified and managed. The new provider had overseen improvements to the health and safety of the service and equipment was serviced and checked to ensure it was safe to use. The service was clean. Some work had been undertaken to improve the environment and the communal areas looked welcoming and comfortable. People’s rooms were almost all in the newer part of the building and there were plans in place to further adapt the building and facilities to the benefit of people living in the service.

Incidents and accidents were reviewed, and the information used to develop practice and improve the care provided.

There were sufficient staff available to support people. Staffing levels were continually reviewed to ensure that there were enough staff to meet people’s needs. Arrangements were in place to check on staff suitability as part of the recruitment process.

Staff knew people well and were knowledgeable about their needs. They had embraced the training from the new provider and strived to improve the quality of care. Competency assessments were undertaken to check on staff’s understanding and ensure that they were putting what they had learnt into practice. Safeguarding was understood by staff and the procedure followed when concerns were raised. Peoples medicines were safely managed.

People liked the food and we saw that this was a strength of the service. The cook prepared meals from fresh ingredients including some which they had grown in the services garden. The cook knew the people living in the service and ran a weekly cookery club to help people engage with food and use their skills. People’s nutritional needs were assessed, and people provided with homemade smoothies and snacks which had eradicated the need for prescribed supplements.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us that staff were kind and motivated to provide compassionate care. There was a clear emphasis on respect and dignity. Staff understood the importance of people maintaining their independence and the beneficial impact this had on their wellbeing.

People received high quality person centred care. Staff were attentive and made efforts to ensure that people maintained their interests. Staff went the extra mile to ensure that people’s lives were fulfilling and meaningful. There was a timetable of regular events, but people benefited from ongoing spontaneous activities, which took place in different parts of the service.

Since taking over ownership of the service the provider had started to build relationships within the local community and children and their parents regularly visited the service for a music and movement class. These sessions had a real impact on people’s quality of life and some people had become less isolated and more integrated into the life of the service.

The provider sought feedback from people and involved them in the development of the service. People, their relatives and staff all agreed that the service was exceptionally well managed. They told us that the new provider had made significant strides since taking over the service and all praised the commitment and skills of the new management team. Governance was embedded in the running of the service and there was a strong emphasis on continuous improvement.