11 November 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 unannounced inspection was undertaken on 26 September 2017 and was carried out by one inspector.
Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the completed PIR and previous inspection reports before the inspection.
We also reviewed information we had about the provider, including notifications of any safeguarding or other incidents affecting the safety and well-being of people using the service. By law, the provider must notify us about certain changes, events and incidents that affect their service or the people who use it.
We met with all of the five people who used the service. Because of the complex nature of people’s methods of communication, we were unable to ask them direct questions about the service they received. We observed interactions between staff and people using the service as we wanted to see if the way that staff communicated and supported people had a positive effect on their well-being.
During the inspection we spoke with three care staff and the manager. We looked at three people’s care plans and other documents relating to their care including risk assessments and medicines records. We looked at other records held at the home including meeting minutes, staffing files as well as health and safety documents and quality audits.
After the inspection we spoke with two relatives of people using the service.
11 November 2017
This unannounced inspection was undertaken on 26 September 2017 and was carried out by one inspector. At our last inspection in September 2015 the service was rated ‘Good’. At this inspection we found the service remained ‘Good’.
Hail - Granville Road is a care home providing accommodation and support with personal care for six people with learning disabilities. On the day of the inspection there were five people living at the home. There had been no new admissions to the home since our last inspection.
There was a manager in post who was in the process of applying to be registered with the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’.
Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff understood their responsibilities to keep people safe from potential abuse, bullying or discrimination.
Risks had been recorded in people’s care plans and ways to reduce these risks had been explored and were being followed appropriately.
People using the service were relaxed with staff and the way staff interacted with people had a positive effect on their well-being.
There were systems in place to ensure medicines were handled and stored securely and administered to people safely and appropriately.
Staff were positive about working at the home and told us they appreciated the support and encouragement they received from the manager.
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 understood the principles of the Mental Capacity Act (MCA 2005) and the associated Deprivation of Liberty Safeguards (DoLS). Staff knew that they must offer as much choice to people as possible in making day to day decisions about their care.
People were included in making choices about what they wanted to eat and staff understood and followed people’s nutritional plans in respect of any healthcare needs people had.
People had regular access to healthcare professionals such as doctors, dentists, chiropodists and opticians.
Staff treated people as unique individuals who had different likes, dislikes, needs and preferences.
Everyone had an individual plan of care which was reviewed on a regular basis.
Relatives told us that the management and staff listened to them and acted on their suggestions and wishes.
People were supported to raise any concerns or complaints and relatives were happy to raise any issues with the manager if they needed to.
People were included in monitoring the quality of the service and better ways to include them in this process were being explored. The manager and staff understood that observation was very important to identify people’s well-being where people did not always communicate verbally.