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.
Back by popular demand was our Christmas Reindeer game which is board game that we play on the floor – Santa’s boot prints are the numbers that you would find on the board and occasionally there will be a numbered chimney with a forfeit on, such as ‘Santa has eaten too many mince pies – Miss a turn’. And the staff are the reindeer that move around the board or floor. Our reindeers this year were Amber who was with us on a work experience placement as Cupid, Activities Co-ordinator Sue Woodward as Comet and Projects and Maintenance Manager Samantha Hurst as Rudolph. The ladies picked who they wanted to win and Care Manager Louise Hurst rolled the dice and the reindeer moved around the board. The ladies really got into the Christmas spirit laughing and cheering for their favourite reindeer even though some of the reindeer forgot we were playing a game, just as well Santa was busy!
The Hermitage had its very own Elf Day in December. The staff at the Hermitage were very good sports and dressed as elves for the day, which the ladies and visitors to the home found most amusing. The ladies played ‘Pin the Ears on the Elf ‘and Activities Co-ordinator Sue Woodward had to call time on the game as the competitiveness was strong in some of the ladies as there was bit of cheating was going on! The Hermitage would like to add that no elves were harmed during the playing of any games. After seeing an appeal on Facebook from Nobles Hospital on the Isle of Man for people who would be having a lonely Christmas and had no family to visit them in hospital, the ladies wanted to send a little Christmas cheer across the Irish Sea. The ladies sent them handmade Christmas cards, wrote them a letter and sent a picture of their day with the elves.
The Hermitage took time to remember the centenary that marked the end of the First World War. The ladies shared their memories and watched the Queen and her family attend the service at Westminster Abbey. Earlier in the week the ladies very much enjoyed looking at the different poppy displays from the UK in particular the Field of Remembrance at the National Memorial Arboretum, the Weeping Window at the Imperial War Museum and the amazing light installation at the Tower of London. Entertainers Dan and Trish marked the occasion with a sing a long of wartime favourites and The Hermitage sold hand-made poppies with the proceeds going to the British Legion.
The ladies decided they wanted to do something a little different with the pumpkins for Halloween and table decorations was the most popular idea. The wicked witch took time off from looking for the ruby slippers to help carve the pumpkins while the ladies and Activities Co-ordinator Sue Woodward put their artistic talents into the flower arranging. Great fun was had making a mess sharing stories of flower arranging one of our ladies who is pictured seemed to have the devil in her and liked scaring others with the spider decorations!!!!!!