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CQC report explained · a residential care home, run by Hestia Housing and Support

Harwood Road

95-99 Harwood Road, Fulham, London, SW6 4QL

Goodpublished 14 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, thorough recruitment checks, safe medicines systems and regularly reviewed risk assessments.
Effective?
Good
People’s physical, mental and social needs were assessed and their care was provided appropriately. Staff had induction, training and supervision, and people were supported with nutrition, healthcare and legal consent arrangements.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Well-led?
Good
Inspectors found an open, positive and honest culture. The home had clear responsibilities, regular audits, up-to-date records and systems for learning from complaints and incidents.
The latest report, explained

What inspectors found, December 2023

Harwood Road rated Good; inspectors found safe, effective care and good leadership, but caring and responsive were not inspected.

This was an unannounced inspection visit on 6 November 2023. One inspector spoke with three people, three staff and three healthcare professionals. They also reviewed care, medicine, risk, staff and management records.

The home was rated Good overall, with Good ratings for Safe, Effective and Well-led. Inspectors found enough suitably recruited staff, safe medicines systems, regularly reviewed risks and effective support with health, food and drink.

People and healthcare professionals described the home positively. Inspectors found an open management culture, up-to-date records and regular checks on quality. The overall rating stayed Good from the previous inspection.

Caring and Responsive were not inspected during this visit. The previous ratings for these areas were used when calculating the overall rating.

What inspectors praised
  • People felt safe

    People and their relatives said the home was safe, and inspectors observed a relaxed and positive atmosphere.

    People and their relatives said the home was a safe place to live and staff treated them with kindness and respect.from the report
  • Safe medicines

    Medicines were stored, administered and checked safely. The records inspected had no errors or omissions.

    We found no recording errors or omissions on any medicines records we looked at.from the report
  • Effective support

    People’s physical, mental and social needs were assessed. Staff worked with health and social care professionals and supported people to attend appointments.

    People had their physical, mental, and social needs assessed, and their care, and support were delivered in line with legislation, standards, and evidence-based guidancefrom the report
  • Good leadership

    Inspectors found clear responsibilities, regular quality checks and a culture where people, relatives and staff could share their views.

    The home's culture was person-centred, open, inclusive, and empowering.from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you make sure each person’s risk assessment is updated when their needs, interests or activities change?
  2. 02What training and supervision will the staff supporting my relative receive, and how do you check that their skills remain up to date?
  3. 03How will you support my relative to attend health appointments and keep in contact with mental health and other healthcare services?
  4. 04How do you involve people and relatives in decisions about care, activities, food and changes to the service?
  5. 05What were the previous ratings for Caring and Responsive, and when will these areas next be reviewed?

This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 14 December 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.

The story over the years

Every inspection of Harwood Road

5 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Harwood Road

  2. October 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. January 2018Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. July 2016Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2015Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 10 January 2011.

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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Same provider

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