Hillsborough House

Updated 21 July 2023

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 Health and Social Care Act 2008.

This was a targeted inspection to check whether the provider had met the requirements of the Warning Notices issued in relation to regulations Safe care and treatment and Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Inspection team

The inspection was undertaken by 1 inspector.

Service and service type

Hillsborough House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Hillsborough House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a manager registered with CQC, however they were not in day-to-day charge of the service.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed various documents in relation to the running of the service, including checks and audits, fire risk assessments and action plans. We undertook a visual inspection of the entire premises, including of people’s private bedroom accommodation. We spoke with 2 people and 6 staff, including care staff and the manager.

Updated 21 July 2023

About the service

Hillsborough House is a residential care home providing personal care to 14 people at the time of the inspection. The service supports autistic people and people with learning disabilities, people with mental health needs, physical disabilities, sensory impairment, and older people. The service can support up to 14 people.

Hillsborough House consists of 2 former domestic properties converted into 1 care home. The service is laid out over 3 floors, with private bedroom accommodation on each floor. On the ground floor, people have access to a level garden, communal lounge, and dining area. There is an additional lounge on the second floor and communal toilets and wash facilities accessible on each floor. The registered manager’s office is located on the top floor.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: At this inspection we found medicines safety had improved and checks were in place to monitor medicines management. The provider was working with healthcare professionals, including the GP, dentist, and local pharmacy to ensure people received the support they needed.

Right Care: Since our previous inspection the provider had completed maintenance work to the premises and implemented infection and prevention control measures. The service looked visibly cleaner and was not malodourous. Works were ongoing at the time of our inspection and there were action plans in place to monitor progress.

Right Culture: Oversight and management of care quality and safety had improved since our previous inspection, this included checks in relation to fire safety and infection prevention and control. People told us they were happier. People were being supported to understand fire safety measures in the service and how they should respond in the event of a fire.

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 inadequate (published 16 June 2023).

Why we inspected

We undertook this targeted inspection to check whether the Warning Notices we previously served in relation to Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The overall rating for the service has not changed following this targeted inspection and remains inadequate.

We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.