The Hawthorns Care Centre

The leadership and governance of the home required improvement to ensure audits were effective in promoting improvement and identifying risks. Quality assurance measures in place were not always robust, some issues identified on inspection were not appropriately identified. The registered manager has acted upon feedback from this inspection and was putting plans in place to address the issues identified.

Staff did not always receive training or training updates relevant to their role. This included training in; end of life care, oral health and person-centred care. Some staff did not have training for specific conditions.

Care plans were personalised and contained information about people's history, and personal preferences. People's risk assessments and care plans were reviewed monthly, however some areas of the care plans contained inconsistent or missing information which was not always identified during the audit process.

Activities in the home were limited, particularly for people who were less able to participate in group activities. Further work was required to reduce the risk of people experiencing social isolation through personalised activities.

People and their relatives said that staff were caring and kind. We observed staff were patient and compassionate towards people.

Mental Capacity Act People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.