20 November 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
This inspection was carried out by one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Hannahwood Mews is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spent time with six people who used the service. We spoke with eleven members of staff, including the director of adult services, the registered manager, team leader, nurse, physiotherapist and support workers. We did not use the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. This was because people were coming in and out of the service on a regular basis. We did use the principles of SOFI when carrying out observations in the service.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at additional activity records. We spoke with the service’s activities and events manager. We asked five professionals for feedback and received one response.
20 November 2019
About the service
Hannahwood Mews is a residential care home providing personal and nursing care to 10 younger adults with significant physical disabilities and associated sensory, communication and learning disabilities, at the time of the inspection. The service can support up to 14 people in one adapted building. All areas of the service were wheelchair accessible.
Hannahwood Mews is situated on the same site as Dame Hannah Roger’s school and is run by the Dame Hannah Rogers Trust.
The service had been developed and designed prior to Building the Right Support and Registering the Right Support guidance being published. However, people using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities to live meaningful lives that include control, choice, and independence.
The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 14 people. Ten people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design and its location within the Dame Hannah community. People lived busy lives and this reduced the amount of time they spent in the service.
People’s experience of using this service and what we found
People living at Hannahwood Mews received an exceptionally person-centred service. Staff were committed to supporting people to communicate their needs and preferences. People had active and fulfilled lives and were part of the local community. People had opportunities to attend a wide range of clubs, events, exercise and therapy classes at the service. There were lots of outings and community events in the local area. A relative who gave feedback said, “We are fortunate to be able to access such an inspiring and innovative organisation.”
People’s needs were thoroughly assessed and care plans were extremely detailed. Care and support was planned proactively in partnership with people and their families, where appropriate. Staff were highly responsive in identifying people’s needs and ensured they were supported in the best way possible.
People benefited from compassionate support provided by a kind, committed and caring staff team. The provider had received feedback from a relative, which stated, "Care and support is second to none.” Staff recognised the importance of family and friends and helped people maintain these important contacts.
People's risks were understood and managed well. People were protected from discrimination and abuse because staff understood how to safeguard them. Staff had the skills and knowledge to support people safely and effectively.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People health and communication needs were fully met as they had access to qualified healthcare professionals who were employed by the service. They were also supported by a wide range of external health and social care professionals.
The service was well led by a committed management team. They used effective checks and audits to identify areas for improvement and develop the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.