Background to this inspection
Updated
8 April 2020
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
39 Hawthorne Grove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relatives about their experience of the care provided. We spoke with five members of staff including the registered manager the senior care worker and care workers. We reviewed a range of records. This included three peoples care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We sought feedback from three professionals who regularly visit the service and received contact from two.
Updated
8 April 2020
About the service
39 Hawthorne Grove is a care home for people living with a learning disability and/or autism. It provides personal care to three people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.
The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
People were protected from potential risks of abuse and harm by staff who had been trained and knew how to report any concerns.
People had a variety of risk assessments which identified areas of risk and gave guidance to staff on how to minimise those risks.
Medicines were administered, stored and managed safely.
Staff were recruited safely and told us they had good support from the registered manager. They had regular one to one supervision and an annual appraisal. The registered manager operated an open door policy and staff felt very able to approach them with any issue.
People’s needs were assessed by a multi-disciplinary team of health and social care professionals. Care plans were developed using person centred language and detailed individual needs, preferences and methods of communication.
We observed and we were told staff were kind caring and compassionate and delivered dignified and respectful care to people. 39 Hawthorne Grove was homely calm and relaxed. People appeared to be happy and content.
The service had a new registered manager who had made significant improvements to communication, record keeping and the quality of people’s lives. We received very good feedback about their management style and competency.
The service had robust quality assurance and audits in place to monitor the quality of the service, senior management also had good oversight.
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 interest; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection The last rating for this service was good (published 19 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.