Background to this inspection
Updated
8 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection team
The inspection was carried out by one inspector.
Service and service type
Hudson Road residential care home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed all the information we held about the provider and spoke with the commissioning authority. We reviewed the notifications sent to us from the provider in line with their legal responsibility. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We looked at two people’s care records and the records relating to staff administration of their medicines. We looked at the training plan and completion rate for all training in the home. We checked audits and quality assurance reports, incident and accident records, as well as the recruitment, supervision and training information for two staff. We visited the care home and met with all the people living in the home. We also obtained further information from the service following the inspection.
We spoke with five members of staff including, support workers, senior staff, domestic support staff and the registered manager. We also spoke with a member of the management team responsible for quality. We spoke with relatives of two people currently living in the home and one relative of a former resident who had sadly passed away. We also spoke with the commissioning authority.
Updated
8 January 2020
About the service
Hudson Road is a residential care home providing personal care to four people at the time of the inspection. The home is registered for up to six people. People supported at Hudson Road have profound and multiple disabilities including learning, physical disabilities and sensory needs. Accommodation is provided in single bedrooms.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practise guidance. This ensures that people who use the service can live a full a life as possible and achieve the best possible outcomes that include control, choice and independence. People’s support focused on them having as many opportunities as possible.
People’s experience of using this service and what we found
Relatives told us that the standard of care their loved ones received at Hudson Road was exceptional.
We observed peoples’ support during our visits to Hudson Road, staff were gentle and showed people kindness and affection, within their professional boundaries.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Care and support were delivered on a very individual basis. People were encouraged to plan and decide their daily routines. Activities were generally planned in advance to ensure staffing levels were appropriate, however all activities were flexible relative to people's well-being.
Staff knew people extremely well care, support and activities were planned around individual likes and dislikes. People were encouraged to participate in activities which were meaningful to them for example bus journeys, lunches out and trips to the cinema.
Professionals also spoke very highly of the home and how the home was able to support people to have good outcomes, helping to maintain good physical health. They commented on the lovely atmosphere in the home, and the professionalism of the staff. Ideally, wherever possible people would be supported until the end of their life in the home by people who know them.
Healthcare records were kept to high standards and staff knowledge of individuals was extremely good. This enabled staff to recognise any changes in people and seek early access to primary healthcare services, this ensured excellent continuity of care.
Staff responded to overcome any constraints presented when supporting people to live fulfilled lives. People enjoyed attending live music events, cycling in summer, swimming and being part of the community despite physical and sensory challenges.
Risks were assessed and managed well. People received their medicines as they should.
Thorough recruitment, staff induction and ongoing training were in place to ensure that staff were suitable to work and provide support within the home. There was a very low change of staffing which meant people were supported by a staff team who knew them and their preferences extremely well.
People had access to food, snacks and drinks throughout the day, food was freshly prepared.
Staff knowledge and understanding of people and the way in which they communicated meant they effectively supported people to live their best life.
Complaints were managed effectively in line with company guidance. Family members told us that they had no complaints. Families felt they were respected, consulted and fully involved with their loved ones care.
People would be encouraged to continue their involvement with their chosen religion after moving to the home.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published April 2017). We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.