The Hermitage Charity Care Trust is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Hermitage Charity Care Trust is situated in the market town of Uttoxeter and provides personal care for up to 30 females in one adapted building. The premises have been extended and modernised with all bedrooms now being on the ground floor. The care home was gifted in Trust to the ladies of Uttoxeter and is therefore only for females. At the time of our inspection, there were 28 females using the service. At our last comprehensive inspection in May 2016, the service was rated as Good with the Key Question Effective being rated as Requires Improvement. The service was found to be not consistently following the principles of the Mental Capacity Act (2005) and people were being unlawfully Deprived of their Liberty. This was a Breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. A focused inspection took place in December 2016 and found that the provider had made the necessary improvements and the Key Question of Effective was rated as Good.
At this inspection, the Key Question of Caring was still rated as Good. The Key Questions of Safe, Effective, Responsive and Well-Led has now changed to Requires Improvement.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
There were enough staff to meet people’s needs but staff had not received up-to-date training. Care plans were not always personalised and people did not always receive care that was responsive to meet their needs. Risks were not appropriately assessed and planned for.
People’s mental capacity had not always been assessed at the right time meaning people did not have maximum choice and control of their lives which meant that staff could not support them in the least restrictive way possible. There were no systems in place to monitor, learn and improve when things went wrong.
People were not supported to have their end of life care and wishes met but the service had begun working with an agency to develop this practice. Medicines were mostly managed safely and people had access to healthcare as required.
Staff knew people well were able to tell us how they protected people from the risk of abuse and/or harm. People were treated with kindness and people knew how to make a complaint. People were happy with the food and drink that was available to them.
Our inspection found a breach of regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This related to good governance at the service. You can see the action that we asked the provider to take at the end of this report.