Background to this inspection
Updated
22 October 2015
We carried out this inspection under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 17 July 2015 and 22 July 2015 and was unannounced. When we last visited the home on 20 May 2014 we found the service met all the regulations we looked at.
HCS (Enfield) Limited, 221 Holtwhites Hill provides accommodation, care and support for people 8 people with a learning disability or people on the autistic spectrum. There were eight people using the service on the day of our inspection.
We spoke with people who use the service, their relatives and staff. We also viewed records held and maintained by the service covering all aspects of care delivery, health and safety and overall management.
Updated
22 October 2015
This inspection took place over two days, 17 July 2015 and 22 July 2015 and was unannounced. Holtwhites Hill is registered to provide care and support for eight people with learning difficulties. The home was last inspected 20 May 2014 and was compliant in all areas inspected.
There was a registered manager in post. A registered manger is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of law; as does the provider.
Procedures relating to safeguarding people from harm were in place and staff understood what to do and who to report it to if people were at risk of harm. Staff had an understanding of the systems in place to protect people who could not make decisions and followed the legal requirements outlined in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
There were individualised care plans written from the point of view of the people they were supporting. Care plans were detailed and provided enough information for staff to carry out their job and support people properly. People were involved in decisions about their care. Where people were unable to have input, best interests meetings and decisions were recorded.
People were supported to maintain a healthy lifestyle and had healthcare appointments that met their needs. These were recorded and monitored on a regular basis. Medicines were administered safely and on time. staff had completed training in medicines and administration.
People told us that they felt safe within the home and well supported by staff. where people were unable to talk to us, we carried out a Short Observational Framework (SOFI). This is a way for us to check interactions with staff and the people they support. We saw that people were treated with dignity and respect and that they were relaxed an happy around the staff.
People were supported to ensure that they had enough to eat and drink to meet their nutritional needs. Staff were aware of specialist diets and peoples needs.
people told us that they were happy with the care provided. Staff were appropriately trained and skilled to care. Training was updated regularly and monitored by the manager. Staff had regular supervision and annual appraisals that helped identify training needs and improve quality of care.
The registered manager was accessible and spent a lot of time with people. We were told that there was an open culture within the home and this was reflected by the staff. Staff felt safe and comfortable raising things with the manager and felt that they would be listened to.
Audits were carried out across the service on a regular basis that looked at things like, medicines management, health and safety and quality of care. There was a complaints procedure as well as incident and accident reporting. Where things were identified, the manager used this as an opportunity for change to improve care for people.