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Inspection Summary


Overall summary & rating

Good

Updated 31 March 2020

About the service

Hardwick View is a residential care home providing personal care to younger and older people living with a learning disability, physical disability or a sensory impairment. The home can support up to 20 people; 19 people were living there at the time of the inspection. The home consists of a large family home and an adjacent bungalow where two people live independently.

The service has been developed and designed prior to the implementation of Registering the Right Support. However, we found the home adhered to the principles and values to ensure people can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People received a high level of person-centred care based around their abilities, preferences and interests. The manager and staff took time to get to know people and refused to see disability as a barrier to a full and inclusive life. A relative told us, “We chose Hardwick for its outstanding qualities of care, compassion and an open friendliness. These qualities have never changed and if anything, have grown, helping to give it the homely, warm atmosphere that the clients live in.” Another told us their loved one had a lifestyle that “exceeded their expectations.”

People told us they were happy and safe at Hardwick View. They were proud to show us around their home and tell us about their life. They told us of the friendships and relationships they had made and the various leisure activities they enjoyed.

Relatives and professionals told us of the support people were provided with to remain as healthy as possible to enable them to live comfortable and fulfilling lives. They gave us examples of where people’s health had improved as a result of the determination and dedication of staff to ensure everything possible had been done to support people to live their best life. One relative told us that without the support of the home, their loved one would not be alive to celebrate their birthday. People had the support of professionals to help them understand their health care needs and to work alongside staff to provide the best possible outcomes for people. The manager challenged healthcare professionals if people had not been given fair access to services and the same opportunities for support as people without disabilities. One person told us staff had helped them understand a newly diagnosed health condition and that they had the support of a specialist nurse. A professional told us, “Every individual is given the very best chance in life” and another described the home as “always excellent”.

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. People were fully involved in making decisions about their care and treatment. Staff understood the importance and principles of supporting people to make their own decisions about their care. They always approached decision making from the view that with the

Inspection areas

Safe

Good

Updated 31 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 31 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 31 March 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 31 March 2020

The service was well-led.

Details are in our well-Led findings below.