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Howe Dell Manor Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 July 2019

About the service

Howe Dell Manor is a converted manor house in Hatfield, Hertfordshire that accommodates up to 19 people living with mental health conditions. At the time of this inspection there were 16 people living at the service.

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

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 told us they felt safe in the home and staff supported them in a kind and caring way. Staff knew how to report their concerns and keep people safe from harm. Medicines were managed safely. Risk assessments were developed and actions to mitigate risks were identified, however more detail was required to ensure staff had guidance on how to consistently apply measures to mitigate risks.

Care plans were developed in an electronic format and they were detailed in what people`s needs were and what support was needed from staff to meet those needs. These needed further development to ensure they accurately reflected people`s current needs, the support they were getting and to detail people`s likes, dislikes and preferences.

People were offered choices and staff knew they had to ask for people`s consent to support them with any aspects of care. People told us staff were kind and caring and their dignity and privacy was protected. The provision of individually tailored social activities was an area the provider was still working on to ensure people were living an active life. There were enough staff to support people with their daily needs, including support for people to go out when they wanted.

Staff felt supported to understand and carry out their job roles effectively. Training commenced to ensure staff were up-skilled to the roles of champions in their areas of interest. The interim management team were working to develop the way staff met people`s dietary needs.

Governance systems had improved since the last inspection. The way the provider collected feedback from people, audits and other data to help assess the quality of the service provided was more effective and helped the provider identify where more improvements were needed.

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 inadequate (published 13 March 2019).

The provider completed an action plan after the last inspection and sent us monthly updates to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 13 March 2019. During this inspection the provider demonstrated that improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 27 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 27 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 27 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 27 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 July 2019

The service was not always well-led.

Details are in our well-Led findings below.