Background to this inspection
Updated
3 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one Inspector, a Specialist Advisor (Nurse with experience of working in mental health services) and an 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.
Service and service type:
The Huntercombe Centre Sherwood is a residential home with nursing.
People in care homes receive accommodation and nursing or personal care. 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:
We reviewed information we had received about the service since the last inspection. This included checking incidents the provider notified us about, such as serious injuries and abuse. We sought feedback from the local authority, Healthwatch and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection, we spoke with six people who used the service and two relatives of people who use the service who were visiting on the day. We called one relative of a person who used the service after the inspection. We spoke with nine members of staff including the Registered Manager, Deputy Manager, two nurses, a senior carer, cook, the administrator, the activities co-ordinator and a member of domestic staff.
We reviewed a range of records. This included six people's care plans and medication records. We also looked at four staff files in relation to recruitment, training and supervision records. We reviewed records relating to the management of the service and a broad range of policies, audits and procedures which had been developed and implemented by the provider.
Updated
3 July 2019
About the service:
The Huntercombe Centre Sherwood provides short-term rehabilitation and residential care for men and women with a learning disability or mental health condition. The service specialises in providing supportive, therapeutic care. The service provides a 24- hour nursing team to support people with a range of physical conditions. The service’s aim is to equip people with the skills needed to enable them to move into a more independent environment.
The service has 18 beds, 14 in the main building and four individual flats on the site but housed in a separate building. The service is located near to Nottingham city centre and is close to a variety of local amenities and public transport links
The service was providing care and support to 13 males aged 18 and over at the time of the inspection, with one person currently off-site as an in-patient at hospital.
People’s experience of using this service:
The service met the characteristics of outstanding.
People received exceptionally kind and responsive person-centred support from staff who were motivated and led to provide the best care they could. People's independence and dignity were cornerstones of staff practice, staff understood how to support and enable individuals to maximise their potential. People were encouraged to meet goals and regain independence when possible.
Staff supported people to make decisions for themselves and frequently engaged with people about their wishes and preferences.
People were able to live healthy lives, staff took a proactive approach in helping people improve their health to the extent that people regained lost independence. People felt they were partners in their care and encouraged to make decisions about this. The service's visions and values
promoted people's rights to make choices and live a dignified and fulfilled life. Staff understood how to make people feel valued and people told us this improved their lives and made them happy. The registered manager had created excellent community links that benefitted people. They had a strong focus on reducing isolation, loneliness and promoting connection. Activities were creative and diverse to meet different people's interests and needs.
The service was led by a registered manager and management team that were committed to delivering a service which improved the lives of the people using the service in fulfilling and creative ways. Their drive and passion had created an exceptionally dynamic and vibrant service. The leadership team encouraged and facilitated staff to go the extra mile in delivering tailored care that made people feel individual. Innovation, creativity and sharing ideas and best practice were common place, staff were regularly involved in local initiatives to enable the best care and support.
Rating at last inspection:
The service was last inspected on 21 November 2016 and was rated Good.
Why we inspected:
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk