Hopleys House

Updated 6 April 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 2 inspectors.

Service and service type

Hopleys House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hopleys House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we had received about the service. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 21 November 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who use the service and 2 relatives of people who use the service, about their experiences of care. We spoke with 5 members of staff, including the registered manager, deputy manager and care staff.

We reviewed a range of records, these included 2 people’s care records and medication records. We looked at 1 staff file in relation to recruitment and supervision and 3 agency profiles. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 6 April 2023

About the service

Hopleys House is a residential care home providing personal care to up to 5 people. The service provides support to adults with learning disabilities and autistic people. At the time of our inspection there were 2 people using the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right support

People were supported by staff who recognised and reported the risk of abuse. People’s risks were assessed, monitored and managed. People were supported by enough staff who were safely recruited to work in the service. People’s medicines were managed safely. There were effective systems to prevent and control infections.

People were supported to eat, and drink where required and have a healthy diet. People were well treated and supported with their equality and diversity respected. People received person-centred care which met their needs and preferences and their communication needs were assessed and met.

Right care

People’s needs were assessed and delivered in line with their choices and they were supported by staff who were trained to meet their needs. Staff worked with other health and social organisations. The home was adapted and decorated to meet people’s needs and preference. They were supported to share their views and be involved in their care. People were supported to develop and maintain relationships and take part in activities and things of an interest to them.

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 provider planned to review the assessments in place to ensure they were decision specific.

Right culture

Processes were in place to record any accidents and incidents. People’s privacy and dignity was respected, and their independence promoted. The provider acted on any concerns and complaints raised to improve people’s care.

People were supported by staff who shared a positive culture which provided them with good outcomes. The provider and staff were clear about their roles and responsibilities. The registered manager understood their obligation under the duty of candour. People and staff were involved and engaged in the service whilst we had mixed reviews from people’s relatives. The provider was continuing to learn to improve people’s care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 01 April 2022 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support right care right culture. This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.