Khaya Project (Hillreach)

Updated 24 June 2022

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

A single inspector carried out this inspection.

Service and service type

Khaya Project (Hillreach) 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. Khaya Project (Hillreach) is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that someone would be in the office to support the inspection.

What we did before the inspection

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.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people to gain their views about the service. We spoke with a member of staff, deputy manager and the registered manager. We also spoke with one healthcare professional.

We reviewed a range of records. These included four people’s care plans, risk assessments and medicines records. We looked at three staff files in relation to recruitment, training and supervision. We also looked at records relating to the management of the service such as audits and a variety of the provider’s policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. The provider sent us quality assurance records.

Updated 24 June 2022

About the service

Khaya Project (Hillreach) is a care home that provides accommodation and personal care for adults with mental health conditions with the aim of supporting people to live independent lives. At the time of the inspection, four people were using the service.

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

Care records were in place which contained information on the support people needed. However, some aspects of people’s care records contained language which was not person centred.

We have made a recommendation about person centred care planning.

The service had safeguarding procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks had taken place before staff started work and there were enough staff available to meet people’s care and support needs. Risks to people had been assessed to ensure their needs were safely met. The service had procedures in place to reduce the risk of infections. People’s medicines were managed safely.

People’s care and support needs were assessed when they moved into the service. Staff were supported through induction, training, regular supervision and annual appraisals of their work performance. 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 supported this practice. People were supported to maintain a healthy balanced diet and they had access to health care professionals when they needed them.

Staff were caring and people’s independence was promoted. People’s privacy and dignity was respected. People and their relatives [where appropriate] had been consulted about their care and support needs.

People received person centred care which met their needs and preferences. People were supported to maintain relationships and engage in activities they enjoyed. The service had a complaints procedure in place.

The registered manager and staff worked in partnership with health and social care providers to plan and deliver an effective service. The service took the views of people into account through satisfaction surveys and meetings. There were systems in place to monitor the quality and safety of the service. Staff enjoyed working at the service and said they received good support from the management team.

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

Rating at last inspection and update:

This service was registered with us on 14 August 2019 and this is the first inspection.

The last rating for the service under the previous provider at the previous premises was requires improvement published on 16 February 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Khaya Project (Hillreach) on our website at www.cqc.org.uk.

Follow up

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