Hadleigh Nursing Home 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. This service does provide nursing care. The service accommodates up to 54 people and there were 29 people living in the service when we inspected on 15 May 2018. This was an unannounced comprehensive inspection.

The service did not have a registered manager. Since the last registered manager left the service it has been managed by an operational manager for the company. A new manager has been appointed and is seeking registration with the Care Quality Commission. 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.

This was the first inspection of the service. There were systems in place designed to keep people safe from avoidable harm and abuse. Staffing levels in the service were organised to provide people with the care and support they required. There was a robust recruitment process in operation to check staff were fit to care for the people using the service.

People were provided with their medicines as prescribed. The environment was appropriate for people using the service. Staff were provided with training and support. All of the qualified nursing staff had maintained their status to practice as qualified nurses. People were supported as needed to see health and social care professionals. People’s nutritional needs were assessed and met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with dignity and respect by the staff. People had positive relationships with the staff who supported them. There was a system in place to manage complaints.

People were provided with the opportunity to participate in activities that interested them. People’s views were valued and used to plan and deliver their care. People’s views were listened to and acted upon relating to their end of life care.

The service had a clear vision to deliver care and support to people with regard to their assessed needs. There was a governance framework in place to check upon the quality and safety and service and systems in place to address improvements in the service once identified.