Hatton Court Care Home

The service can support up to 60 older people, younger people and people living with dementia in one building with a large central communal area. One unit at the home provides support for people living with dementia and has its own communal area. Another unit is a rehabilitation unit and provides support to people who have been discharged from hospital to enable them to go back to their own homes. This also has its own communal area with a kitchenette.

Systems were in place to assess risks to people but were not always well managed or overseen to ensure people stayed safe. As a result people had been placed at risk of poor skin care and not having enough fluids.

Systems and processes had not been used effectively to learn from incidents, however improvement had recently been made to address this shortfall.

Staffing was stretched and their focus was on completing tasks. The shortfalls in staffing were covered by the use of agency staff. The provider was actively recruiting for staff and told us they had restricted admissions to the home until they were more stable.

The leadership and management of the home had not ensured the delivery of high quality care for all people. Although the provider had a governance framework in place this had not been used to focus on continuous learning and improvement. The oversight of agency staff and poor record keeping had not been considered as risks to people's health, safety and wellbeing.

A new management team was in place at the home which had started the process for improvement.

Overall, safe infection prevention and control procedures were followed and the management addressed issues with staff's use of personal protective equipment (PPE) during our inspection. People and staff had access to COVID-19 testing and vaccination. All visitors were tested in line with government guidance.