Background to this inspection
Updated
10 May 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 took place on 26 February 2018 and was unannounced. This was a comprehensive inspection.
The inspection team included one Inspector and one expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience’s area of expertise was care of people with a learning disability.
We reviewed key information before the inspection. We asked the provider to complete a Provider Information Return (PIR). This is a document which provides information about the service such as what they do well and what improvements they plan to make. We also reviewed any notifications sent to us. By law, a provider must inform CQC of any significant events by sending a notification.
We observed three people having care and support in Hindson House. We also spoke with the registered manager, regional manager, three members of staff and three people who received care and support. We reviewed records relating to people’s care including care plans and medicines administration records. We also reviewed staff training records, three staff recruitment files, quality assurance audits, records of accidents and incidents and the provider’s policies and procedures on whistleblowing, lone working and managing sickness. After the inspection we spoke with three members of staff and reviewed additional records sent to us by the provider. This included the complaints procedure, statement of purpose, nutritional support tools and the service improvement plan.
Updated
10 May 2018
Hindson House is a residential care home which provides residential respite care for up to six adults with physical and/or learning disabilities. The care home comprised of one floor, was wheelchair accessible and was set in its own secure gardens.
At our last inspection we rated the service as overall Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained rated overall as Good.
At our last inspection in December 2015 we found that the provider did not provide full employment histories for all of their staff. This was a breach of Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found that the provider had taken action to meet the requirements of the regulation. Full employment histories were provided for all staff.
People were kept safe from the risk of harm and abuse. Staff were appropriately trained and robust reporting systems were in place. Risks to people were assessed and monitored effectively.
Sufficient numbers of staff were deployed to meet people’s needs. Medicines were stored, recorded and administered safely and risk assessments were in place to keep people safe and support their wellbeing.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supporte this practice.
Staff were trained to support people according to their needs, choices and preferences. Care plans and risk assessments were regularly reviewed and contained personalised information to support people’s needs. Staff worked in partnership with health and social care professionals to promote people’s health and wellbeing.
Staff had developed respectful, caring relationships with people and involved them in making decisions about their care.
Care and support was planned so that it met people’s needs and reflect their choices, capabilities and preferences. There was a complaints policy in place and a range of communication methods were used to support people to express concerns.
The registered manager promoted a person centred, caring culture which was shared by staff. Robust systems were in place for monitoring quality within the service. Feedback gathered was used to drive improvements in the service and meet people’s requests. There was a calm and positive atmosphere within the home and it was obvious that people enjoyed being there.
Further information is in the detailed findings below.