About the service Hilltop is a residential care home providing personal care and accommodation to up to 7 people. The service provides care and support to autistic people. At the time of our inspection there were 7 people using the service.
The home is set over 2 floors with a communal lounge, dining room, garden.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support:
People’s medicines were managed safely.
Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
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 were supported by staff to pursue their interests, so people had a fulfilling and meaningful everyday life. Staff supported people to achieve their aspirations and goals.
The service gave people care and support in a safe environment. People were able to personalise their rooms.
Governance systems monitored and assessed the quality of care regularly.
Right Care:
The service was working to stabilise staffing after recent changes. Supervision of staff and training compliance was a focus for the service to complete.
People received kind and compassionate care. People’s independence was promoted. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People received care that supported their needs and aspirations and was focused on their quality of life.
Right Culture:
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
Staff placed people’s wishes, needs and rights at the heart of everything they did.
People and those important to them, were involved in planning their care.
Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.
People’s quality of life was enhanced by the service’s culture and inclusivity.
Staff ensured risks of a closed culture were minimised so that people received support based on transparency and respect.
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 1 December 2020 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 3 April 2020.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.