# Hagan Hall

*Operated by South Tyneside MBC.*

Hagan Hall is a CQC-regulated home-care agency in Jarrow.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 10/02/2023

## Practical info

- Postcode: NE32 4PR
- Registered manager: Whitley, Rachel
- Local authority: South Tyneside
- Region: North East
- City: Jarrow
- Last CQC check: 10/Feb/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Positive partnership working with health and social care professionals.
  - Published: 2023-02-10
- Finding
  - Evidence: The provider understood and acted on the duty of candour and made timely CQC notifications.
  - Published: 2023-02-10
- Finding
  - Evidence: People felt safe, relaxed, and at home; relatives gave positive feedback about staff.
  - Published: 2023-02-10
- Finding
  - Evidence: Safeguarding training was up to date and the provider took prompt, robust action when protocols were not followed.
  - Published: 2023-02-10
- Finding
  - Evidence: Staff knew people well, understood their individual needs, and supported independence effectively.
  - Published: 2023-02-10
- Finding
  - Evidence: Sufficient settled staffing with no reliance on agency staff, ensuring continuity of care.
  - Published: 2023-02-10
- Finding
  - Evidence: Medicines were managed safely with accurate, up-to-date records and regular audits in place.
  - Published: 2023-02-10
- **care_planning** _(minor)_
  - Evidence: 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.
  - Published: 2023-02-10
- **governance** _(moderate)_
  - Evidence: Regular local oversight had not always been managed in an effective way, in line with the provider's procedures.
  - Published: 2023-02-10
- **incident_learning** _(moderate)_
  - Evidence: 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.
  - Published: 2023-02-10
- **supervision_appraisal** _(moderate)_
  - Evidence: staff supervisions and competence assessments had not happened as often as they should have.
  - Published: 2023-02-10

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-02-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-02-10
- Finding
  - Staffing and recruitment
  - Published: 2023-02-10
- Finding
  - Using medicines safely
  - Published: 2023-02-10
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-02-10

### well_led

- Finding
  - Duty of candour
  - Published: 2023-02-10
- Finding
  - Engaging and involving people, promoting a positive culture, working in partnership
  - Published: 2023-02-10
- Finding
  - Continuous learning and improving care; Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirements
  - Published: 2023-02-10

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-124617636

HomeCare Compass is an independent guide and is not affiliated with the CQC.