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CQC report explained · a residential care home, run by C & K Healthcare

Honister

Ellenbrook Lane, Hatfield, AL10 9RW

Goodpublished 8 November 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found individual risk assessments, fire checks, safe medicines practice, suitable recruitment checks and effective infection prevention arrangements.
Effective?
Good
People's health needs were assessed and staff supported them to access healthcare. Staff had relevant training, and people were offered food, drinks and choices suited to their needs.
Caring?
Good
Staff were described as kind, friendly and helpful. Inspectors saw patient interactions and found that people were involved in decisions, treated with dignity and supported by staff who knew them well.
Responsive?
Good
Care plans were detailed and reflected people's individual needs. Activities, communication support and visiting arrangements were available, although inspectors saw one instance where a person needed to point out that personal care was required.
Well-led?
Good
Management systems and audits had improved since the previous inspection. People, relatives and staff said they were listened to, and the management team used feedback, incidents and complaints to identify learning.
The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found safe, kind and well-organised care, with some checks needed around personal care and the home environment.

The inspection took place without notice on 3 October 2023. One inspector spoke with five people, three relatives or friends and seven staff. They observed care and checked care, medicines, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they were happy with the care and felt safe. Inspectors found medicines, infection control, staffing and risk management were handled well.

The home had improved from Requires Improvement at the previous inspection, published in October 2019. Inspectors found better risk management, fire safety and management checks. They also noted a small number of issues, including one person needing to point out that personal care was needed and too many posters making parts of the building feel less homely.

What inspectors praised

  • Safe medicines

    Inspectors checked a sample of medicines and records and found them correct. Staff had training and regular audits were carried out.

    “We checked a random sample of medicines and records and found these were all correct.” from the report

  • Kind relationships

    People and relatives spoke positively about staff. Inspectors saw staff treating people politely and supporting them patiently.

    “People told us the staff were kind, friendly and helpful.” from the report

  • Improved management

    The home had made progress since the previous inspection. Its risk management, fire safety and governance systems were more effective.

    “There had been improvements since the last inspection.” from the report

  • Choice and activities

    People were supported to choose how to spend their days. The home offered activities including quizzes, music, baking, celebrations and days out.

    “People joined in with a quiz on the day of inspection.” from the report
What inspectors were concerned about

  • Personal care checks

    needs fixing

    Inspectors saw one person who needed personal care being taken to the dining room and having to alert staff. The home addressed this with staff and provided further training and supervision.

    “We did observe an instance of a person in need of personal care was being escorted to the dining room and needed to bring it to the staff member's attention.” from the report
Questions to ask them, based on this report
  1. 01What has happened with the change from the previous registered manager to the acting manager?
  2. 02How do staff now check whether people need personal care before meals or activities?
  3. 03Have the posters been reduced or moved, and how do you help people find their bedrooms?
  4. 04How are medicines audits reviewed, and what happens if an error is found?
  5. 05How are residents' and relatives' views used to change care or activities?

This planned inspection looked at all five CQC questions and included infection prevention and control, observations, conversations and records checks. This explanation was written from the published report of 8 November 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 Honister

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

  1. November 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Honister →

  2. October 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

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

  3. April 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  4. September 2018Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  5. February 2018

    Registered with the Care Quality Commission on 26 February 2018.

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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1 other service on the CQC register. A pattern across a group tells you more than one report.

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