Hulse Road

Updated 13 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 19 December 2018 and was unannounced. The inspection was completed by one inspector. The home was previously inspected in October 2017 and received a rating of Requires Improvement, for the second consecutive time.

Prior to the inspection we reviewed the information we held about the service and the service provider. This included statutory notifications sent to us about events and incidents that had occurred at the service. A notification is information about important events which the service is required to send us by law.

At the inspection we looked at information and records relating to people’s care. This included support plans, health plans, and daily records for four people. We saw records of feedback from relatives and spoke with the relatives of one person. We looked at records relating to the management of the service. This included four staff recruitment and training files, supervision records, audits, and staff meeting minutes. We spent time observing interactions between people and staff. We also spoke with three members of staff, either by formal or informal conversation, and spent time speaking with the registered manager and quality lead.

Updated 13 February 2019

This inspection took place on 19 December 2018 and was unannounced.

Hulse Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 support and accommodation for up to six people with a learning disability. The Royal Mencap Society is the service provider, a charity based in the UK, working with people who have a learning disability. At the time of our inspection there were four people living at the home.

There was a registered manager in post and available throughout our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the CQC inspections in October 2017 and November 2016, we rated the service as Requires Improvement. At the October 2017 inspection we made a recommendation to review staffing levels after 4pm. We also identified that areas of improvement were needed in the medicines protocol for one person, and the recording of mental capacity and consent. In addition, the managerial audits of the service were not effective. At this inspection we found that improvements had been made and the rating has now changed to Good.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Staff received safeguarding training and understood their responsibilities to identify and report any concerns of abuse.

Medicines were managed safely. There were systems in place to monitor medicine administration records and medicines stock.

There were improvements to the way people were supported to communicate their choices and decisions. Information was explained in pictorial formats to support people’s needs. This included the complaints procedure, for healthcare appointments, and to help people understand when changes were taking place in the home.

A new kitchen was due to be installed one week after the inspection. This had been communicated to people using pictures and print, showing that a new kitchen would be fitted on a specific date in the calendar.

People were supported to be actively involved in choosing new bedroom furniture, furnishings and wall colours. Timelines were created to support people to understand delivery dates while they awaited the delivery of the items.

Risks to people’s safety in the home and when spending time in the community had been assessed. There were plans in place to reduce the likelihood of risks occurring, and to help people maintain their independence.

People had been supported to make healthier lifestyle choices. This included healthy menu options and being encouraged to partake in physical activities.

There were opportunities for people to attend activities in the local community, based on their personal interests. These included craft sessions, swimming, and dance exercise workouts.

There were many social activities held at the home, including themed parties. There had been a Halloween and Christmas party, as well as a ‘Reflection Day’, where friends and families were invited to attend.

A day was dedicated to reflecting upon what had been achieved in the previous twelve months. People had created photo boards and displays of their activities, events, and achievements. Family and friends were invited to join the celebrations. People and staff were presented with certificates for their achievements.

Referrals were made to health and social care professionals when required.

Compliments had been received from people’s families and one was received from a person’s GP. The GP commented that there were notable improvements in the person’s wellbeing and appearance.

New staff were recruited through recruitment processes and received a robust induction. This included in-house and external training, with new staff receiving a company induction and assessment from the area manager. This was in addition to supervision and assessment from the registered manager.

Staff were trained to meet the needs of people living at the service. Records showed that all staff training required by the provider was complete and up to date. Staff also received regular one-to-one meetings with the registered manager to discuss their performance and how they could further develop.

There was a friendly and relaxed atmosphere at the home, the staff team communicated well with one another and people were comfortable.

The registered manager had reflected upon where improvements had been required, and upon any accidents and incidents that had taken place. They had learned from these and made improvements accordingly. Staff were communicated with in the event of any updates.