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Inspection Summary


Overall summary & rating

Good

Updated 3 March 2020

About the service

Hambleton House is a residential care home providing personal to 17 adults with a learning disability, autism and mental health difficulties at the time of the inspection. The service can support up to 18 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.

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

People’s safety continued to be promoted through effective systems to protect people from abuse. Potential risks to people had been assessed and care was planned to keep them safe. Staff knew how to report concerns when people’s safety and wellbeing was at risk. People's care and support needs were met by staff who knew them well and enjoyed working with them.

People’s dietary needs were met, and healthy eating was promoted. People received their medicines at the right times. Staff ensured people's healthcare needs were met. Staff were alert and responsive to any changes in people's needs and liaised with health care professionals.

People were supported by kind and caring staff who they trusted. Staff had undergone a robust recruitment process. There were enough staff to support people and they worked flexibly to promote their independence and social engagement. The staff team was established, experienced, and trained.

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.

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. People maintained relationships with family and friends, and had develop new friendships. People’s independence and social engagement was promoted. People felt valued members of the community as they pursued hobbies, social and sporting activities and voluntary work.

People received person centred care that met their needs. Care plans reflected individual preferences, diverse cultural needs and how they wished to be supported. Staff ensured people’s dignity and respect was always promoted and protected. People had developed positive relations with staff who were committed to non-discriminatory practices. People were confident complaints would be listened to and acted on.

The provider had effective systems in place to monitor the quality of care provided. Policies, procedures and other information was made available to people in formats that met their communication needs, such as easy read and picture styles. Staff were happy working for the service and felt supported by the registered manager. Partnership with health and social care professionals and various community services ensured people received joined up care.

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 26 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hambleton House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our

Inspection areas

Safe

Good

Updated 3 March 2020

The service remained safe.

Details are in our safe findings below.

Effective

Good

Updated 3 March 2020

The service remained effective.

Details are in our effective findings below.

Caring

Good

Updated 3 March 2020

The service remained caring.

Details are in our caring findings below.

Responsive

Good

Updated 3 March 2020

The service remained responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 3 March 2020

The service remained well-led.

Details are in our well-led findings below.