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Inspection report

Date of Inspection: 28 July 2014
Date of Publication: 3 September 2014
Inspection Report published 03 September 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 28 July 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

We spoke with two people who lived at Hawkstone House. They both told us they were happy with the care they received and liked living at the home. One person told us “I am really happy here, staff make me laugh and they help me to go shopping which I love”. Another person said “It’s nice here, I am happy because staff look after me”. We also spoke with the relatives of two people who lived at the home. Overall people told us they were happy with the standard of care provided. One person told us they had looked at several homes when deciding where their relative should live. They said Hawkstone House “Stood head and shoulders above everywhere else; due to the genuinely caring and calm environment”. Another person said they felt involved in the wider decisions regarding their relatives care and treatment as they attended regular care review meetings and staff kept them informed of any key issues. However they said staff did not always keep them informed of what their relative did on a day to day basis and because they could not visit every day they would like to know this information.

We reviewed three sets of care records. We saw support plans were in place to provide staff with guidance about how to support each person’s individual needs in relation to health, personal and social care. For example where the person may have displayed challenging behaviour the care plan described ways of helping to calm the person’s behaviour. There were also risk assessments which identified potential risks to people’s health and wellbeing. These included; money management, environmental risks and moving and handling. We saw evidence staff reviewed care files approximately every six months or sooner if any changes occurred. This ensured documentation remained relevant to people’s current needs.

We saw health action plans were in place for everyone who used the service and these were reviewed annually. A health action plan is used to support people with learning disabilities to check and maintain their general health. We saw people had access to a range of health professionals such as opticians, psychiatrists, podiatrists, general practitioners and district nurses.

During our inspection the manager of the home was on holiday so we spoke with the deputy manager and the clinical services manager. The deputy manager told us staff worked closely with community based services in specific areas of people’s care which included both their physical and mental health. We saw the input of other healthcare professionals involved in people's care and treatment was recorded in people's care records.

We asked staff to tell us about someone who used the service. They were able to provide us with detailed information about this person, such as what they liked and disliked, potential risks to their health and wellbeing and what their specific care needs were. They gave us examples of how they would recognise if someone’s needs had changed and what they would do to ensure people received the care and support they needed.