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Inspection Summary


Overall summary & rating

Good

Updated 22 January 2019

We inspected the service on 19 December 2018. The inspection was unannounced.

Hallaton Manor Ltd 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 is registered to provide accommodation and personal care for up to 41 people and accommodates older people, people with mental health issues, people with learning disabilities and autism, people with alcohol and drugs issues, people with dementia, people with physical disabilities and younger adults. At the time of our inspection there were 36 people using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff had received training to enable them to recognise signs and symptoms of abuse and felt confident in how to report these types of concerns to management.

People had risk assessments in place to enable them to be as independent as they could be in a safe manner. Staff knew how to manage risks to promote people’s safety, and balanced these against people’s right to take risks and become more independent.

There were sufficient staff to support people with their required needs, though staff time was not always available to provide one-to-one time with people.

Effective recruitment processes were in place and followed by the provider. Staff were not offered employment until satisfactory checks had been completed.

Medicines were managed safely. Processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. Infection control measures were in place to protect people.

People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were not fully knowledgeable of this guidance but correct processes were in place to protect people.

Staff gained consent before supporting people. People were encouraged to have choice and control of their lives and staff supported them in the least restrictive way possible.

Staff received an induction process and on-going training. They had attended a variety of training to ensure they were able to provide care based on current practice when supporting people, though more training was needed on people’s health conditions. Staff were also supported by managers through supervisions.

People could make choices about the food and drink they had, and staff gave support when required to enable people to have a balanced diet.

People were supported to see a variety of health professionals when required, including opticians and doctors, to make sure they received healthcare to meet their needs.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where able and appropriate, were involved in the planning of their care and support.

People’s privacy and dignity was maintained. Care plans were written in a person-centred way and were responsive to people’s needs. People were supported to follow their interests.

There was a complaints procedure which was accessible. A system was in place to respond to complaints appropriately.

Quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 22 January 2019

The service remains Good.

Effective

Good

Updated 22 January 2019

The service remains Good.

Caring

Good

Updated 22 January 2019

The service remains Good.

Responsive

Good

Updated 22 January 2019

The service remains Good.

Well-led

Good

Updated 22 January 2019

The service remains Good.