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Inspection Summary


Overall summary & rating

Good

Updated 31 December 2019

About the service

Hawkinge House is registered as a community healthcare service, domiciliary care service, extra-care housing service, supported living service and a care home with nursing.

A community healthcare service provides nursing and other clinical resources to people who live in their own homes. A domiciliary care service provides personal care to people living in their own homes. A supported living service provides care and support to people living in supported living settings so that they can live as independently as possible. Under this arrangement people's care and housing are provided under separate contractual agreements.

An extra care housing service provides care and support to people living in '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. In both supported living services and extra care housing services people's care and housing is provided under separate contractual agreements.

In a care home with nursing service people receive accommodation, nursing and personal care as a single package under one contractual agreement.

Hawkinge House is registered to provide accommodation, nursing and personal care for 115 people. It can accommodate younger adults, older people and people who live with dementia. It can also provide care for people who need support to maintain their mental health and/or who have physical adaptive needs.

At the inspection there were 81 people living in Hawkinge House of whom 15 were using the care home with nursing service. They were funded by a health authority as they needed complex nursing care.

The remaining 66 people used the supported living service, rented their accommodation and had tenancies with Hawkinge House Limited. These people could choose which provider delivered their care. All the people using the supported living service had chosen to receive their nursing and personal care from nurses and care staff employed by Hawkinge House Limited. This provision was made by Hawkinge House Limited acting as a domiciliary care service.

At the inspection no-one living in Hawkinge House was using it as a community healthcare service or an extra-care housing service.

The accommodation was provided on three self-contained floors comprising a number of bedrooms, communal bathrooms and lounges. Each person had their own bedroom and private bathroom. There was no physical separation between the accommodation used for the supported living service and the care home service. A person using the care home with nursing service might have their bedroom next door to a person using the supported living service and both people may use the same communal lounge.

People's experience of using the service and what we found

People and their relatives were positive about the service. A person using the supported living service said, “I like the staff well enough and they’re very helpful.” A relative said, "The staff are excellent, caring and loving to the residents.”

People were safeguarded from the risk of abuse. People received safe care and treatment in line with national guidance from nurses and care staff who had the knowledge and skills they needed. There were enough nurses and care staff on duty and safe recruitment practices were in place. People were helped to take medicines in the right way and lessons had been learned when things had gone wrong. Hygiene was promoted to prevent and control infection and people had been helped to quickly receive medical attention when necessary.

People were supported to have maximum choice and control of their lives and care 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 accommodation was designed, adapted and maintained to meet people’s needs and expectations.

People were treated with kin

Inspection areas

Safe

Good

Updated 31 December 2019

The service was safe.

Effective

Good

Updated 31 December 2019

The service was effective.

Caring

Good

Updated 31 December 2019

The service was caring.

Responsive

Good

Updated 31 December 2019

The service was responsive.

Well-led

Requires improvement

Updated 31 December 2019

The service was not consistently well-led.