Hagan Hall is rated Good overall, with safe care, settled staffing, effective medicines management, and a warm, person-centred culture supporting people's independence. However, the well-led rating dropped to Requires Improvement due to inconsistent supervision, competency checks, and insufficient incident trend analysis to drive learning.
Concerns (4)
moderateSupervision / appraisal: “staff supervisions and competence assessments had not happened as often as they should have.”
moderateIncident learning: “Auditing of medicines administration and incidents had not included meaningful reflection on broader trends and themes, and these had not been fed back to staff.”
moderate
Governance
: “Regular local oversight had not always been managed in an effective way, in line with the provider's procedures.”
minorCare planning: “The provider had identified the need to improve the person-centred nature of some care documentation and this work was nearly complete at the time of inspection.”
Strengths
· Medicines were managed safely with accurate, up-to-date records and regular audits in place.
· Sufficient settled staffing with no reliance on agency staff, ensuring continuity of care.
· Staff knew people well, understood their individual needs, and supported independence effectively.
· Safeguarding training was up to date and the provider took prompt, robust action when protocols were not followed.
· People felt safe, relaxed, and at home; relatives gave positive feedback about staff.
Quality-Statement breakdown (8)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
well-led: Continuous learning and improving care; Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Engaging and involving people, promoting a positive culture, working in partnershipGood