We undertook this unannounced inspection on 25 & 31 October 2018. Hadley House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission [CQC] regulates both the premises and the care provided, and both were looked at during this inspection. Hadley House Nursing Home is registered to accommodate a maximum of 14 people with dementia and mental healthcare needs. On the day of this inspection there were 14 older people living in the home. Some of them had dementia while others had mental healthcare needs. The stated aim of the home was to deliver a service of the highest quality in a safe, homely and clean environment that will improve and sustain the service user’s quality of life. It was also committed to ensuring equality and meeting the diverse needs of people who used the service.

At our last comprehensive inspection on 17 March 2016 the service met the regulations we inspected and was rated Good. At this inspection we found the service remained Good.

People who used the service informed us that they had been treated with respect and dignity. The service had arrangements to protect people from harm and abuse. Care workers were knowledgeable regarding types of abuse and were aware of the procedure to follow when reporting abuse.

Risks assessments had been carried out and risk management plans were in place to ensure the safety of people. The service followed safe recruitment practices and sufficient staff were deployed to ensure people’s needs were met. There were suitable arrangements for the administration of medicines and medicines administration record charts (MAR) had been properly completed.

There was a record of essential maintenance and inspections by specialist contractors. Fire safety arrangements were in place. These included weekly alarm checks, a fire risk assessment, drills and training. Personal emergency and evacuation plans (PEEPs) were prepared for people to ensure their safety in an emergency.

The service worked well with healthcare professionals and ensured that people’s healthcare needs were met. The dietary needs of people had been assessed and arrangements were in place to ensure that people received adequate nutrition.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. DoLS ensure that an individual being deprived of their liberty is monitored and the reasons why they are being restricted are regularly reviewed to make sure it is still in the person’s best interests. We noted that the home had suitable arrangements in place to comply with the Mental Capacity Act 2005 and DoLS.

Care workers had received a comprehensive induction and training programme. There were arrangements for staff support, supervision and appraisals.

Care workers prepared appropriate and up to date care plans which involved people and their representatives. The service had made effort to engage people in various activities within the home and in the local community. Some people had made progress and their mental health had improved.

There were opportunities for people to express their views and experiences regarding the care and management of the home. The service had a policy on ensuring equality and valuing diversity. There were arrangements to ensure that people’s religious and cultural needs were met. People were supported with their religious observances and provided with cultural meals in accordance with their wishes and preferences. Four people who used the service were Tamils. Some information had been translated into Tamil for them.

Complaints made had been recorded and promptly responded to. Checks and audits of the service had been carried out by the registered manager and the team leader to ensure that the service provided care of a good quality.

The home had an infection cont

We undertook this unannounced inspection on 17 March 2016. Hadley House Nursing Home is registered to provide personal care and accommodation for a maximum of 14 people, some of whom may have dementia or mental health needs. At this inspection there were 14 people living in the home.

At our last focused inspection on 10 December 2015 the service met all the regulations we looked at.

The home has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated Regulations about how the service is run.

People informed us that they were satisfied with the care and services provided. They had been treated with respect and dignity and felt safe living in the home. There was a safeguarding adults policy and suitable arrangements for safeguarding people. Care workers were caring and knowledgeable regarding the individual choices and preferences of people. People’s care needs and potential risks to them had been assessed and care workers provided with guidance on minimising identified risks.

Care workers prepared appropriate and up to date care plans which involved people and their representatives. Personal emergency and evacuation plans were prepared for people and these were seen in the care records. People’s healthcare needs were closely monitored and arrangements made for them to be attended to. There was evidence that people had access to community healthcare professionals and specialist hospital services. This was confirmed by people and their relatives.

There were arrangements for encouraging people to express their views and experiences regarding the care and management of the home. Residents’ meetings had been held for people and the minutes were available for inspection. The home had an activities programme we saw people being encouraged to participate in social activities.

The CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. DoLS ensures that an individual being deprived of their liberty is monitored and the reasons why they are being restricted are regularly reviewed to make sure it is still in the person’s best interests. During this inspection we found that the home had followed appropriate procedures for complying with the Deprivation of Liberty Safeguards (DoLS) when needed.

There were suitable arrangements for the provision of meals to ensure that people’s dietary needs and cultural preferences were met. People were satisfied with the meals prepared. Special diets and alternative meals were available for people. The arrangements for the recording, storage, administration and disposal of medicines were satisfactory. Audit arrangements were in place and people and their relatives confirmed that people had been given their medication.

Staff had been carefully recruited and provided with induction and training to enable them to care effectively for people. They had the necessary support, supervision and appraisals from their manager. There were enough staff to meet people's needs. Staff were knowledgeable and enthusiastic about their work. Teamwork and communication within the home was good.

People and their representatives expressed confidence in the management of the service. The results of the last satisfaction survey and feedback from people indicated that they were satisfied with the care and services provided. Staff were aware of the values and aims of the service and this included treating people with respect and dignity and promoting their independence.

The premises were clean and tidy. Infection control measures were in place. There was a record of essential inspections and maintenance carried out. There were arrangements for fire safety which included alarm checks, drills, tr

We undertook this unannounced inspection on 10 December 2015. Hadley House Nursing Home is registered to provide personal care and accommodation for a maximum of 14 people, some of whom may have dementia or mental health needs. At this inspection there were 14 people living in the home.

At our last comprehensive inspection on 11 August 2014 we found two breaches of legal requirements. This is because the provider did not have effective systems for safe care and treatment and for monitoring the quality of care. After the comprehensive inspection, the registered provider sent us an action plan telling us how they would meet legal requirements. We undertook this focused inspection on the 10 December 2015 to check that they had followed their plan and to confirm that they now met legal requirements.

This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Hadley House Nursing Home’ on our website at www.cqc.org.uk’.

The home has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated Regulations about how the service is run.

At this focused inspection, we found that the provider had followed their action plan and legal requirements had been met. Cleaning material and chemicals were kept locked away in a cupboard when not in use. The arrangements for the recording, storage, administration and disposal of medicines were satisfactory. The sharps box was not overfilled and was kept locked in a designated room. The premises were clean and tidy. Infection control measures were in place. There was a record of essential inspections of equipment and maintenance carried out in the home.

Staff were carefully recruited. There were sufficient numbers of staff to meet people's needs. Staff were aware of the safeguarding policy. They had received training and knew how to recognise and report any concerns or allegation of abuse. Risk assessments contained action for minimising potential risks to people.

We found that action had been taken to ensure the service was well-led. The provider had introduced a system of regular audits and checks to ensure that deficiencies are promptly noted and rectified. Staff worked well as a team and communication among them was good. Feedback from a visitor and people who used the service was satisfactory and indicated that people were satisfied with the quality of care provided.