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Hydon Hill - Care Home with Nursing Physical Disabilities Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 October 2020

About the service

Hydon Hill is a care home with nursing for up to 46 adults with physical disabilities. There were 33 people living at the home at the time of our inspection. The home is set within a campus-style setting in a semi-rural location. The building is single-storey and many rooms have direct access to the garden.

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

People felt safe at the home and when staff provided their care. They received their care from regular staff with whom they had established positive relationships.

People told us staff were available when they needed them. People said staff had worked hard to keep them safe during the coronavirus pandemic.

Additional infection control measures had been implemented to protect people and staff during the pandemic. These measures included the use of appropriate personal protective equipment (PPE), more frequent cleaning of the home and ensuring staff were up-to-date with guidance about infection control.

The documentation and recording of people’s care had improved since our last inspection, which helped ensure people received safe and effective care. For example, people were protected from the risk of developing pressure damage because their repositioning charts were kept up-to-date confirming they have been repositioned as required. Support plans were structured, detailed and personalised. Information about people’s needs was comprehensive and up-to-date.

Quality monitoring tools had been introduced since our last inspection which had improved the management oversight of the service. Accident and incident records were reviewed and action taken to reduce the risk of a similar event happening again.

People told us they had opportunities to give feedback about the home and the support they received. They said staff listened to and acted upon what they had to say. People told us they could speak with the registered manager or a senior member of staff if they wished.

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.

Managers and staff had worked closely together during the pandemic to keep people safe. Staff told us this had strengthened the sense of teamwork within the home’s staff team. Communication of important information amongst the staff team had improved. Staff were given daily updates about people’s needs and any changes to their care.

Why we inspected

We carried out an unannounced inspection of this service on 14 October 2019. Breaches of legal requirements were found. The service was rated ‘Inadequate’ overall and placed in special measures. We served Warning Notices in relation to Safe care and treatment and Good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Inadequate to Requires Improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hydon Hill - Care Home with Nursing Physical Disabilities o

Inspection areas

Safe

Good

Updated 6 October 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 October 2020

Caring

Requires improvement

Updated 6 October 2020

Responsive

Requires improvement

Updated 6 October 2020

Well-led

Good

Updated 6 October 2020

The service was well-led.

Details are in our well-led findings below.