Background to this inspection
Updated
15 April 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
The inspection was carried out by one inspector.
Service and service type
66, Hookstone Chase 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.
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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with six members of staff including the nominated individual, the registered manager, the deputy manager and three care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included three people’s care records and one medicines record. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
15 April 2020
About the service
66, Hookstone Chase is a residential care home providing personal care and support to five younger adults with visual impairment, learning disabilities, or associated conditions. There were five people using the service at the time of inspection.
People’s experience of using this service and what we found
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
The vision of the service reflected these principles ensuring people with learning disabilities have opportunities and choice and are supported to achieve their aspirations. Staff adopted the ethos to provide person-centred care that enabled individuals to develop skills and behaviours to live more independent lives, whatever the level of need.
The service was provided from one house and was registered to support five people. It therefore conformed with current best practice guidance. The service was managed in a way that ensured people received person-centred care and were supported to maximise their independence, choice, control and involvement in the community. Areas of the building were showing signs of wear and tear. We received an action plan after the inspection with plans for improvement.
Staff upheld people's human rights and treated everyone with respect and dignity. Communication was effective and staff and people were listened to. Staff were well-supported and were aware of their rights and their responsibility to share any concerns about the care provided. Staff told us they received training and support to help them carry out their role.
People felt safe and were positive about the care provided. Detailed care plans were in place that documented how people wished to be supported. Risks to people's safety including any environmental risks were well-managed. People were well-cared for, relaxed and comfortable. Staff knew the people they were supporting well and care was provided with patience and kindness.
People enjoyed their meals and their dietary needs had been catered for. People were supported to receive their medicines and manage their finances safely.
We have made a recommendation about the management of people’s finances.
Regular audits and checks were carried out. A more robust quality assurance system had been introduced by the provider that had identified areas for improvement.
There were opportunities for people, relatives and staff to give their views about the service. Processes were in place to manage and respond to complaints and concerns. People were supported to follow their interests, hobbies and to be part of the local community.
Information was accessible to involve people in decision making about their lives. 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.
People and staff were positive about the management of the service and felt valued and respected. Staff supported people to ensure they received care that helped them develop. There were enough staff available to provide individual care and support to each person.
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 28 September 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.