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Inspection Summary


Overall summary & rating

Good

Updated 18 September 2018

Hylton House is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Hylton House accommodates eight people with a learning disability in one adapted building. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. At the time of this inspection there were eight people using the service.

This inspection took place on 14 August 2018. At our last comprehensive inspection of the service in July 2017 we found the provider in breach of legal requirements regarding need for consent. We also found staff did not feel valued or rewarded by the provider which was having an impact on morale and motivation within the staff team. We gave the service an overall rating of ‘requires improvement’ as well as in the key questions ‘is the service effective?’ and ‘is the service well led?’.

At a focused inspection in October 2017 we found the provider had acted to improve and had met legal requirements regarding need for consent. We changed the rating for the key question ‘is the service effective?’ to good and the overall rating for the service to ‘good’.

At this inspection we found the evidence continued to support the overall rating of ‘good’. Additionally, we found the service had improved to ‘good’ for the key question ‘is the service well led?’. The provider had used the learning from our last inspection to make themselves more available and accessible to staff and had better insight into staff’s issues and concerns about their roles. They had also introduced new initiatives to reward and motivate staff. Staff told us they felt better supported by the provider and morale amongst the staff team was now good.

People were safe at Hylton House. Staff knew how to safeguard people from the risk of abuse and understood how to report any concerns about people to the appropriate person or authorities. Risks to people's health, safety and wellbeing were assessed and reviewed and staff followed current guidance on how these should be minimised to keep people safe from injury or harm. The provider acted to make improvements when things went wrong. At this inspection we saw improvements had been made following an injury incurred by a person that would help to reduce the risk of a similar injury reoccurring.

The provider maintained a servicing programme of the premises and the equipment to ensure areas covered by these checks did not pose unnecessary risks to people. Hylton House was clean and clear of slip and trip hazards. Staff followed good practice to ensure risks to people were minimised from poor hygiene and cleanliness when providing personal care, when cleaning the premises and when preparing and storing food.

There were enough staff to meet people’s needs. The provider continued to undertake recruitment checks to verify staff's suitability to support people. Staff received training to keep their knowledge and skills up to date with best practice and were set work objectives that were focussed on people experiencing good quality care and support. Staff knew people well and understood people’s needs, preferences and choices. They were aware of people’s preferred communication methods and how people expressed their needs.

People and their representatives continued to be involved in planning their care so that they received personalised support. Staff adhered to current best practice, legislation and standards to support people to experience good outcomes in relation to their healthcare needs. People’s needs were discussed and reviewed regularly to ensure the support provided continued to meet these needs and to identify any improvements or changes required.

People were supported to keep h

Inspection areas

Safe

Good

Updated 18 September 2018

The service remains good.

Effective

Good

Updated 18 September 2018

The service remains good.

Caring

Good

Updated 18 September 2018

The service remains good.

Responsive

Good

Updated 18 September 2018

The service remains good.

Well-led

Good

Updated 18 September 2018

The service had improved to good.

The provider engaged with staff and had introduced initiatives to reward and motivate them. Staff felt better supported and morale amongst staff was now good. Staff and managers worked together to ensure people experienced good quality outcomes.

Relatives spoke positively about management and leadership at the service. People, relatives and staff were encouraged to get involved and give feedback about how the service could improve.

The provider continued to monitor, assess and improve the safety and quality of the service. The worked in partnership with others to develop and improve the delivery of care to people.