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Inspection Summary


Overall summary & rating

Good

Updated 26 July 2017

This inspection took place on 7 June 2017 and was unannounced.

Hambleton House provides accommodation for up to 16 people with learning disabilities who require personal care and support. At the time of our inspection there were 16 people using the service.

When we inspected the service in May 2015 it was rated as requires improvement because we found breaches of legal requirements. At the focused inspection in December 2015 we found the service had made the required improvements and was rated as Good.

At this inspection we found the service remained Good.

People told us that staff promoted their safety, wellbeing and independence. Staff understood their responsibility to protect people from the risk of abuse.

Risks were managed so that people were protected from avoidable harm whilst promoting their choices and independence. People lived in a clean and well maintained service.

Safe medicines and infection control practices were followed by staff. People received sufficient to eat and drink.

Staff were recruited through safe recruitment practices. They received appropriate induction, ongoing training and supervision to provide effective care and support. Sufficient numbers of staff were on duty to meet people’s needs both at home and to access the wider community.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. We found the policies and systems in the service supported this practice.

People received personalised care that was responsive to their needs. Care records contained information to support staff to meet people’s individual needs.

People’s diverse, cultural and lifestyle choices were respected. People maintained contact with family and friends and took part in social events, activities that were of interest to them and employment.

People’s privacy and dignity was respected. Staff’s approach was caring. Staff worked closely with people to promote their independence and their individual goals. Continuous review of people’s care meant they were able to respond to any changing needs.

People’s rights were protected and respected. A complaint process was in place and staff knew how to respond to complaints. Advocacy support was made available to people.

At the time of the inspection the manager had begun the process of being registered with CQC. They along with the care manager provided leadership and guidance to staff to ensure people received safe care and support that promoted their wellbeing and independence. Staff were confident that any suggestions made and concerns raised would be listened to and action would be taken.

Following our inspection visit the manager had successfully completed the registration process to become the registered manager.

The provider was meeting their regulatory responsibilities. People had a range of opportunities to be involved in the development of the service. There were effective systems in place to monitor and improve the quality of the service provided.

Inspection areas

Safe

Good

Updated 26 July 2017

The service remained safe.

People’s safety was protected and promoted by trained staff who knew what to do if they had concerns about their welfare. Risks assessments were followed by staff to promote people’s safety. People lived in a clean and safe place. People received their medicines in a safe way. Staff were recruited safely. There were sufficient numbers of staff to meet people’s needs.

Effective

Good

Updated 26 July 2017

The service remained effective.

Staff received appropriate induction, ongoing training and supervision. People’s rights were protected under the Mental Capacity Act 2005. People had sufficient to eat and drink. People had access to a range of healthcare support to maintain their health.

Caring

Good

Updated 26 July 2017

The service remained caring

People had developed positive professional working relationships with staff who supported and promoted their wellbeing. People were involved in making decisions about all aspects of their care. People’s dignity, privacy and lifestyle choice was respected.

Responsive

Good

Updated 26 July 2017

The service remained responsive.

People received care that was personalised, responsive and their individual interests and hobbies promoted. Some people were independent and had secured employment. Care records were reflective of people’s needs and were reviewed regularly. A complaints process was in place. People were confident that their complaints would be addressed.

Well-led

Good

Updated 26 July 2017

The service remained well led.

People and staff had opportunities to influence and develop the service. The provider was meeting their regulatory responsibilities. A manager had completed the process to become the registered manager. They provided leadership. There were effective systems in place to support staff, and monitor and improve the quality of the service provided.