CQC report explained · a residential care home, run by Hill Care Group
Halton View Care Home
1 Sadler Street, Widnes, WA8 6LN
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, October 2023
Halton View Care Home was rated Inadequate and placed in special measures; inspectors found serious risks involving safety, medicines and management.
Inspectors visited without notice on 22 June, 27 June and 4 July 2023. Two inspectors and a medicines inspector reviewed records, medicines, staffing, the environment and how people were supported. They spoke with people, relatives and staff.
The home was not consistently safe. Risks were not always assessed or managed, medicines records and administration had serious shortfalls, safeguarding concerns were not always acted on promptly, and some areas were visibly unclean. Staffing during meals did not always provide people with the support they needed.
Care planning was not always accurate or personalised. People's choices, communication needs and activities were not consistently supported. Inspectors also found that management and quality systems had failed to identify and correct problems found at this and the previous inspection.
The overall rating fell from Requires Improvement to Inadequate. Safe and well-led were rated Inadequate, and responsive was rated Requires Improvement. The report says the home is in special measures and will be monitored and re-inspected.
Positive staff relationships
Inspectors saw staff being gentle and supportive. They found that staff knew people well and had formed positive relationships.
“Interactions between staff delivering care and support to people were positive. Staff were gentle and supportive in their approach, and it was evident that positive relationships had been formed.” from the report
New manager's awareness
The newly recruited manager understood the role and had identified areas needing improvement. An action plan was being developed with local authority support.
“The newly recruited manager was responsive during the inspection. They had already identified areas of improvement needed around the service” from the report
Some social activity
On the ground floor, people had formed friendships and were seen talking, reading, doing puzzles and playing board games.
“People living on the ground floor told us that friendships had been formed with others and we saw people gathering in the lounge” from the report
Risks were not managed
seriousCare needs and related risks were not routinely assessed, reviewed or reduced. This exposed people to a risk of harm.
“People were exposed to a risk of harm as their care needs and associated risks had not been routinely assessed, reviewed, monitored, or mitigated.” from the report
Unsafe medicines management
seriousInspectors found problems with allergy information, staff competency checks, creams, timing, controlled drugs and medicines that were crushed for swallowing.
“Medicines to be administered at certain times were not always given at the prescribed times.” from the report
Safeguarding concerns
seriousIncident and safeguarding procedures were not always followed. Some incidents were not referred, investigated or reported quickly enough.
“Those incidents that had been reported were not always reported in a timely manner and therefore, actions to mitigate risk of harm to people were delayed.” from the report
Weak management oversight
seriousQuality checks did not reliably identify or correct problems. Records did not show consistently what care had been planned, provided or offered.
“Monitoring systems failed to identify and/or address all shortfalls found during the inspection process with risk management and mitigation, medicines management and governance.” from the report
Uneven activities and choice
needs fixingPeople on the first floor were not seen taking part in activities or social interaction. Meal choices and communication information were also inconsistent.
“No activities or interactions were seen to take place for people living on the first floor.” from the report
Cleaning and food storage
needs fixingSome areas were visibly unclean, including kitchen spaces. Some food was undated or out of date, and a frayed stair carpet created a potential trip hazard.
“Areas of the service were visibly unclean. Small kitchen areas had a build-up of food debris on equipment, floors and walls.” from the report
- 01What has been fixed to ensure medicines are given at the right time, recorded correctly and stored safely?
- 02How are you now checking that every person's risks, including falls, nutrition and weight, are assessed and reviewed when needs change?
- 03How do you make sure safeguarding incidents are reported, investigated and referred to other agencies without delay?
- 04What staffing arrangements are now in place during meals, particularly for people who need help or encouragement to eat?
- 05What changes have been made to activities, communication information and personalised care plans for people on both floors?
This was an unannounced follow-up inspection focused on the areas reported in the safe, responsive and well-led sections; the effective and caring ratings were not newly inspected and the report says uninspected ratings carry over from the previous inspection. This explanation was written from the published report of 10 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Halton View Care Home
7 rated inspections over 7 years: the service has slipped, from Good to Inadequate.
- October 2023Inadequatecurrent ratingdown from Requires improvementSafe: InadequateEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- October 2022Requires improvementdown from GoodSafe: InadequateResponsive: Requires improvementWell-led: Requires improvement
- September 2020Goodup from Requires improvementSafe: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Good
- March 2019Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2017Goodstayed GoodSafe: Requires improvementWell-led: Good
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- May 2012
Registered with the Care Quality Commission on 2 May 2012.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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Other services run by Hill Care 1 Limited
3 other services on the CQC register. A pattern across a group tells you more than one report.