Background to this inspection
Updated
10 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out the inspection.
Service and service type
The Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (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
The inspection was unannounced.
What we did before the inspection
We looked at the information we held about the service, which included the provider’s statement of purpose and any notifications that the provider is required to send us by law. A statement of purpose is a document which includes a standard required set of information about a service. Notifications are changes, events or incidents that providers must tell us about. We sought feedback from the local authority and health authority who commission with the home.
During the inspection
We spoke with three people using the service. We also spoke with the registered manager, assistant director, social worker, two support workers, kitchen supervisor, and representatives of the provider’s compliance, occupational therapy, and psychology departments.
We looked at records relating to all aspects of the home including staffing, medicines, accidents and incidents, and quality assurance. We also looked at two people's care records.
Updated
10 March 2020
About the service
The Hall provides accommodation, nursing and personal care for up to 19 people diagnosed with a mental illness. There were 15 people using the service at the time of our inspection.
People’s experience of using this service and what we found
Staff knew the people they supported well and were caring and compassionate towards them. A person said, “I like living here because the staff work hard and are nice and kind.” Staff involved people in decisions about their care and supported them to be independent and achieve their potential.
People felt safe using the service and staff understood where people were at risk and what to do to minimise this. The home was well-staffed to ensure people’s needs were met. People had their medicines on time and how they wanted them. All areas of the home were clean, tidy and fresh. Accidents and incidents were analysed and the findings used to improve the care provided.
Staff completed a range of essential and specialist training courses to enable them to support people effectively. They worked closely with healthcare professionals to ensure people’s physical health needs were identified and met.
People’s liked the food served and their dietary needs were met. A person said, “The food is good, we get a choice.” The home catered for a variety of diets including vegetarian and gluten-free.
People had activity care plans and the opportunity to take part in group and one-to-one activities. People said they enjoyed the exercise classes run by the home’s occupational therapists. People’s diversity needs were met and the home celebrated cultural and religious festivals and events.
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.
The home provided good-quality personalised care that achieved positive outcomes for people. A person said, “This place gets you better both mentally and physically.” The register manager was well-organised, effective and approachable. The provider and senior staff carried out a range of quality assurance checks and audits to ensure the home was running safely and effectively.
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 (based on an inspection on 21 June 2017).
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.