The Coach House
Hatfield, AL10
Residential
Rated 2 months agocare home
CQC report explained · a nursing home, run by Nouvita
Howe Dell Manor
Old Rectory Lane, Hatfield, AL10 8AE
Goodpublished 28 October 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, staff were recruited safely, staffing levels were sufficient and medicines were managed accurately. Infection prevention measures were also in place.
- Effective?
- Good
- People's needs were assessed before admission and staff worked with health professionals. Staff received training and supervision, although a revised training plan was still due to be delivered.
- Caring?
- Good
- People said staff were kind, listened to them and respected their privacy, dignity and choices. Care plans involved people in decisions about their support.
- Responsive?
- Good
- People received personalised care and had activities, hobbies and outings available. Some care plans needed more information, and staff needed further training for their key-working role.
- Well-led?
- Good
- Inspectors found a positive and open culture, with stronger quality monitoring and better partnership working. Some governance systems were still being developed to make improvements consistent.
The latest report, explained
What inspectors found, October 2023
Howe Dell Manor is rated Good; inspectors found safe, kind care, with some care records and improvements still being completed.
Inspectors visited unannounced on 11 and 17 October 2023. They spoke with people, staff and health and social care professionals. They reviewed care records, medicines records, staff training, incidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were happy with their care. Inspectors found medicines were managed well, staffing was sufficient and staff treated people with kindness and respect.
There had been improvements since the previous inspection, which was rated Requires Improvement in 2019. The Effective, Responsive and Well-led ratings improved to Good, while Safe and Caring remained Good. Some care plans needed more detail, staff training and practice needed to become more consistent, and some parts of the building needed repair or decoration.
What inspectors praised
People feel safe
People told inspectors they felt safe living at the home. Staff knew people's risks and how to support them when they became distressed.
“People told us they were happy with the care provided and felt safe living at the service.” from the report
Medicines managed well
People said medicines arrived on time. Inspectors found medicines were stored safely and records matched the medicines checked.
“Medicines were stored safely, and records were completed accurately.” from the report
Kind and respectful care
Staff knew people well and supported their privacy, dignity, independence and personal choices.
“People were involved in all decisions about their care.” from the report
Improved management
The report found better management systems and a significant improvement in the culture since the previous inspection.
“There had been a significant improvement to the culture in the home and improved use of governance systems.” from the report
Activities and outdoor space
People had communal areas and extensive grounds, and inspectors saw people taking part in activities and outings.
“People had access to ample communal areas and extensive grounds which were in use on the day of our visit.” from the report
What inspectors were concerned about
Care plans need more detail
needs fixingSome care plans did not give staff enough information to support people safely and proactively. This included missing detail about how hallucinations presented and how staff should respond.
“However, these required further information to give staff all the information they needed to support people safely and pro-actively.” from the report
Some building work outstanding
minorInspectors found aged decoration, marks and stains, gaps in tile grouting and flooring that needed replacing. The provider had plans to address these issues.
“We saw marks scuffs and or stains on the walls, gaps in tile grouting round sinks and baths and noted some flooring required replacement.” from the report
Access for some people
needs fixingPeople who were free to leave the building had to ask for the door code. The manager had ordered electronic key fobs to provide unrestricted access.
“However, we were aware that people able to leave the service needed to ask for the code to the door, which impeded their free access.” from the report
Small mealtime shortfall
minorPeople were supported to eat well, but inspectors said the experience would be better if drinks were offered with meals.
“However, the experience could be improved by ensuring people were offered a drink with their meals.” from the report
Questions to ask them, based on this report
- 01How are you adding more detail to care plans about hallucinations and the right support for each person?
- 02Have the electronic key fobs been installed, and can everyone who is allowed to leave access the building freely?
- 03What work has been completed on the stained walls, tile grouting and flooring?
- 04Are people now routinely offered a drink with their meals?
- 05Has the revised staff training plan been delivered, including training for the key-working role?
This was an unannounced inspection covering all five key questions and infection prevention and control, with visits on 11 and 17 October 2023. This explanation was written from the published report of 28 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.
The story over the years
Every inspection of Howe Dell Manor
5 rated inspections over 7 years: the service has held its Good rating throughout.
- October 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Requires improvementup from InadequateSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2019Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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
Other services run by Nouvita Limited
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Good
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