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Inspection Summary


Overall summary & rating

Good

Updated 28 September 2017

The inspection was carried out on 30 August 2017 and was announced.

The Hawthorns is a housing with care scheme made up of 41 separate apartments all on one site. The accommodation has a communal lounge area, dining room and extensive garden for the use of the people living at the scheme. The property is designed to enable and facilitate the delivery of personal care and support to people, now or when they need it in the future. The service operates a 24hour on call system with staff on duty throughout the day and night. If they prefer, people can choose to commission care from other agencies in the area. At the time of our visit the service was providing the regulated activity of personal care to 13 people. The frequency of visits and duration across the service varied dependent on people’s individual needs and circumstances.

There was registered manager who had been registered at the service since February 2016. A registered manager is a person who has registered with the CQC 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.

At our last inspection 25, 26 July and 2 August 2016 we found breaches of Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. We gave the service an overall rating of ‘requires improvement’. These breaches related to the provider's failure to ensure that people were treated with dignity and respect at all times. The provider had not ensured that processes were in place to assess, monitor and mitigate the risks relating to people who used the service. The provider did not ensure that an accurate and complete record was held for each person. We asked the provider to make improvements and to send us an action plan of how they intended to address the shortfalls in care.

At this inspection, we found that provider had made significant improvements since our last inspection and was no longer in breach of the regulations.

People were supported to keep themselves safe from harm and abuse. Staff knew how to recognise the signs of abuse and who to report concerns to. The provider had completed recruitment checks to ensure that potential new employees were suitable and safe to work with people who used the service. There were enough staff to meet people’s needs in a timely manner.

Staff were aware of the risks associated with people’s needs and knew how to minimise the risk of harm without restricting people’s independence and choice. Staff knew what action to take in the event of accidents or incidents and there were procedures in place to reduce the risk of reoccurrence.

People were supported to take their medicine when they needed it to promote good health. Staff monitored people’s health and supported them to access health care as necessary.

People were confident that staff had the skills and knowledge to meet their individual needs. Staff had access to training relevant to their role and to meet people’s specific needs.

Staff sought people’s consent before supporting them. Staff explained things to people in ways they could understand to enable them to make their own decisions.

People were supported to eat and drink enough to maintain their health and wellbeing.

People were supported by staff who were kind and caring. People were involved in decisions about their own care and felt listened to. Staff treated people with dignity and respect.

People were supported by staff who knew their needs and preferences well. People received care and support that was personal to them. People received a flexible service that was responsive to changes in their needs and circumstances.

People had not had cause to complain but felt confident to raise concerns with staff or the registered manager should the need arise.

People and their relatives knew the registered manager well and fo

Inspection areas

Safe

Good

Updated 28 September 2017

The service was safe.

People felt safe with the support provided by staff.

People were supported by staff who were able to recognise signs of abuse and knew who to report concerns to

Risks to people’s safety had been assessed and measures put in place to minimise the risks without restricting their independence or choice.

People were supported to take their medicine when they needed it to promote good health

Effective

Good

Updated 28 September 2017

The service was effective.

People were confident in staff knowledge and ability to meet their needs.

Staff received training and support relevant to their roles.

Staff sought people’s consent before they supported them and explained things to people in a way they could understand to enable them to make their own decisions.

Staff monitored people’s health and supported them to access healthcare as necessary.

Caring

Good

Updated 28 September 2017

The service was caring.

People were supported by staff who were kind and caring.

Staff had formed positive relationships with people and their relatives.

People were involved in decisions about their care and felt listened to.

Staff treated people with dignity and respect.

Responsive

Good

Updated 28 September 2017

The service was responsive.

People received care and support that was personal to them.

People were supported by staff who knew their individual needs and preferences.

People and their relatives had not had cause to complain but felt confident and able to raise issues with staff or the registered manager.

Well-led

Good

Updated 28 September 2017

The service was well led.

People and staff found the registered manager approachable and easy to talk with.

There was a positive working culture where staff felt well supported and valued.

The provider had a range of checks in place to drive improvements in the service.