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Inspection Summary


Overall summary & rating

Good

Updated 28 July 2018

The inspection of Honeybourne Gate took place on 20 and 21 June 2018 and was announced. This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

We only inspected the records, policies and procedures relating to those people who received support with the regulated activity of personal care.

At the last inspection of Honeybourne Gate in July 2017 we rated the service ‘Requires Improvement’ overall. We found two breaches of the regulations. This was because adequate records in relation to people employed and the monitoring of the service had not been kept. The provider had not ensured staff were fit and proper to carry out the regulated activity of personal care.

After the inspection provider sent us an action plan of the actions they would take to meet these legal requirements. At this inspection we followed up on their actions and found that improvements had been made and the service now met the legal requirements.

A registered manager was not in place as required by their conditions of registration. 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 and associated Regulations about how the service is run. However, an acting general manager had been appointed and was managing the service until the newly appointed manager came in to post.

The acting general manager followed safe recruitment practices when recruiting new staff. The provider and deputy managers had a good insight into the quality of care being delivered and monitored the service personally. The provider had sought support from an independent consultant to assist them in monitoring of the service and we saw this had resulted in improvements in how the service was monitored and managed.

People were provided with care and support according to their needs and risks. People’s risks had been identified and were being managed by staff who knew them well. People’s care plans provided staff with the information they needed to support people. Robust and safe systems were in place if people required support with their medicines.

Staff understood how they should apply the Mental Capacity Act 2005 if they were required to support people who lacked mental capacity to make decisions about their care and support. Staff worked closely with health care professionals and people’s families. Relevant health and social care professionals were involved with people’s care when their needs had changed.

People and their relatives were positive about the caring nature and told us they were supported by staff who were kind and compassionate. They were confident that any concerns would be dealt with promptly.

Staff felt trained and supported to carry out their role. The deputy managers were involved in the delivery and management of people’s personal care, which allowed them to monitor the well-being of people and management of staff. Any concerns or accidents were reported and acted on to ensure people received care which was safe and responsive to their needs. Staff were trained in safeguarding people and protecting them from harm.

Inspection areas

Safe

Good

Updated 28 July 2018

The service was safe

People were supported by suitable numbers of staff and recruitment procedures had improved.

People’s risks had been identified and were managed to ensure people remained safe and protected from harm.

Staff had a clear understanding of their responsibilities to identify and report concerns or allegations of abuse.

Systems were in place to assist people with their medicines if required.

Effective

Good

Updated 28 July 2018

The service was effective.

People were supported to make decisions and to consent to the care they received. Staff were aware of the principles of the Mental Capacity Act and how they would embed the principles in their care practices.

Staff felt supported and had access to effective professional development.

When required, people were supported with their dietary and healthcare needs.

Caring

Good

Updated 28 July 2018

The service was caring.

People and their relatives spoke highly about the kindness and approach of staff. They told us they were treated with dignity and respect.

Staff spoke about people in a kind and caring manner.

People were supported to maintain their independence.

Responsive

Good

Updated 28 July 2018

The service was responsive.

People’s care plans were personalised to their needs. Staff had been responsive to people’s changing needs.

People and their relatives were involved in the assessment and planning of their care.

People and their relatives were confident their comments and concerns were listened to and acted upon by the service.

Well-led

Good

Updated 28 July 2018

The service was well-led.

The provider had sought advice in the management of the regulated activity of personal care. The structure and responsibilities of the management team were being reviewed.

Systems were in place which enabled the provider to identify concerns and monitor the quality of service being provided.

People and their relatives were confident in the service they received and felt the managers and staff were approachable.