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Inspection Summary


Overall summary & rating

Good

Updated 15 July 2021

About the service

Hugh Myddleton House is a residential care home providing accommodation and personal care for up to 48 people. At the time of the inspection there were 38 people living at the service.

On the ground floor there is capacity for 19 elderly frail people. On the first floor there is capacity for 19 people living with dementia and on the second floor there is capacity for ten younger people with disabilities.

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

Most people told us staff were kind and caring and they felt safe. We received positive feedback from health and social care professionals regarding the kindness of the staff and their competence in providing care. Relatives confirmed this was the case.

We found one person had been prescribed and been given more than the recommended dose of a medicine, although this had not adversely impacted on their health. This error was immediately addressed by the service; and appropriate advice was sought from health professionals. However, this illustrated a failure of staff to follow systems in place to safeguard people from harm.

Although food was plentiful and freshly cooked, a number of people told us they could not influence the menu. This issue has now been addressed following the inspection.

Care plans were person centred, up to date and together with risk assessments provided staff with detailed guidance in how to care for people safely.

The home was clean and odour free. There were increased infection control measures, including daily audits, in response to the coronavirus outbreak.

Staff recruitment processes and procedures were safe. Essential checks on staff had taken place on staff before they started working for the service. Staff received the training and support to carry out their role effectively. Staff were busy at all times, but the service used a dependency tool to review staffing levels, and staff confirmed there were enough staff. We have made a recommendation in relation to staffing levels.

Staff understood how to safeguard people from abuse. The registered manager understood their obligations to notify relevant bodies of safeguarding concerns.

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.

There had been significant changes in staff personnel and management over the last year, however by the time of this inspection a newly established management team and recruitment of staff had taken place. Provider representatives supported the service in a number of ways, for example, undertaking audits and providing clinical and training support. Local audits in key areas took place.

Rating at last inspection

At the last inspection we rated this service Good. The report was published on 2 February 2018.

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

Why we inspected

We carried out a full inspection of this service on 15 June 2021. This was a planned inspection based on the previous rating.

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 COVID-19 and other infection outbreaks effectively.

Follow up

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

Inspection areas

Safe

Requires improvement

Updated 15 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 15 July 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 15 July 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 July 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 15 July 2021

The service was well-led.

Details are in our well-led findings below.