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Hammonds Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 September 2019

About the service

Hammonds is a residential care home providing personal care to 14 people who live with a learning disability and/or other health conditions. The service can support up to 20 people.

Hammonds accommodates 14 people across three separate buildings, each of which has separate adapted facilities. One of the buildings had four rooms catered for people who stay at the home for short breaks on a respite basis.

The principles and values of Registering the Right Support (RSS) and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. The provider had not always consistently applied these values.

The service was a large home and was registered for the support of up to 20 people. 14 people were using the service, two of which were staying for a short break. The numbers accommodated are not in line with 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.

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

Hammonds requires further development to be able to deliver support for people that is consistent with the values that underpin RRS. For example, people did not always identify, review or develop individual support outcomes and aspirations or take part in meaningful activities. People's communication needs were not fully supported to enable them to have maximum control of their lives. There were limited opportunities for independence and community inclusion.

People were not always receiving respectful or dignified support. However, people and relatives spoke fondly about the staff and we observed some positive interactions between staff and people.

People received care and support that was safe. One person said, "I feel safe. Staff help me stay safe. The staff are perfect, I like [registered manager]. If I needed help I would talk to him.” One relative said, “I think [person] is very safe. They have been here over 20 years. I think they (staff) are absolutely wonderful with him. He likes the men especially. I am very, very happy that [person] is there.”

Improvements had been made to the management of medicines and risk assessments around people’s health needs. People were supported by staff who received training and were able to identify and respond appropriately to abuse. There were sufficient staff to meet people's needs.

Training and observation of staff practice ensured staff were competent in their roles. People were supported to have 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 enjoyed a healthy, balanced and nutritious diet based on their preferences and health needs. One relative said, “It looks nice. No complaints. It’s food he can eat and digest. He’s put on weight and looks good.”

Many staff had worked at the service for a long time. Staff told us they felt they were overall well supported by the management and worked together effectively as a team.

A system of audits monitored and measured aspects of the service and were used to drive improvement. The management team worked proactively with the NHS and Social Services to proactively meet peoples care needs.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 August 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what

Inspection areas

Safe

Good

Updated 12 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 12 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 12 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 12 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 September 2019

The service was not always well-led.

Details are in our well-Led findings below.