Background to this inspection
Updated
5 January 2019
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.
This inspection took place on 2 November 2018 and was unannounced.
Due to the small size of the service, the inspection was carried out by one inspector.
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We asked for feedback from the local authority.
We reviewed information sent to us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
As part of the inspection we spoke with three people who lived at the home and one relative. We spoke with the registered manager, the provider’s nominated individual, and three care staff. We looked at care plans for three people including risk assessments, person-centred plans and daily notes. We also checked medicines records for three people.
We looked at a variety of checks and audits as well as records of surveys and minutes of meetings of staff, people and relatives. We reviewed records of accidents and incidents as well as records relating to complaints and compliments. We looked at two staff files and checked records of staff training and supervision.
Updated
5 January 2019
Hillside resource Centre is a residential care home for up to 22 people with learning disabilities. Care is provided across two floors in a large adapted building. At the time of our visit there were 12 people living at the service.
At the time of inspection, consultations were in progress to change the use of the building and close the service. This was because the service was large and did not meet the requirements in Registering the Right Support. Registering the Right Support is CQC guidance on how to register learning disability services in line with accepted best practice. However, the provider had taken steps to ensure people and relatives were involved in the process and adaptations had been made to ensure people received personalised care.
At our last inspection in January 2016 we rated the service Good. We identified a breach of the legal requirements in relation to notifications and rated the service as ‘Requires Improvement’ in Well-led. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. We also found evidence of improvement in the Well-led domain to achieve a ‘Good’ rating. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated Good
People were kept safe because staff understood and responded to risks. Where incidents occurred, action was taken to keep people safe and staff knew what to do if they suspected harm or abuse had occurred. People’s medicines were managed safely and administered by trained staff. People lived in a clean home environment where the risk of the spread of infection was reduced. There were enough staff present to keep people safe and checks had been carried out on staff to ensure they were suitable for their roles.
People were supported to eat foods they liked, in line with their dietary needs. Staff supported people to meet their healthcare needs and people lived in a home environment that was accessible to them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff had the right training and support for their roles.
Staff were observed to be pleasant and caring and they knew people well. People spoke positively about the staff who supported them and we saw evidence of people being supported to develop skills and independence. Care was delivered in a way that was dignified and people’s privacy was respected by staff.
People were supported to access a variety of activities, outings and holidays. Care plans contained person-centred information about people which staff were knowledgeable of. Regular reviews took place and people’s wishes regarding end of life care had bene documented. There was a complaints policy in place which was accessible to people and staff regularly provided opportunities for people to make suggestions or requests about their care.
Further information is in the detailed findings below