Background to this inspection
Updated
13 April 2022
The inspection
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was conducted by one inspector.
Service and service type
78 Hoylake Crescent is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We looked at all the information we held about the provider, including their action plan.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We met both partners (one partner is also the registered manager) and another member of staff. We looked at the records the provider used for managing the service which included care records, risk assessments, checks and audits. We also conducted a partial tour of the premises and looked at how medicines were managed.
Updated
13 April 2022
About the service
78 Hoylake Crescent is a care home for up to four people who have mental health needs and learning disabilities. At the time of our inspection, one person with mental health needs was using the service. No one had a learning disability.
The service was owned and managed by a private partnership. They also own another registered care home and supported living services.
People’s experience of using this service and what we found
People were happy living at the service. They had good relationships with staff. They were involved in planning and reviewing their care.
Medicines were managed in a safe way. Risks to people's safety and wellbeing were assessed and planned for.
The environment was safely maintained. There were systems and audits to help make sure risks within the environment were identified and reduced.
The provider had made improvements to the service since the last inspection. They had involved staff to help them understand about keeping the service safe and meeting people's needs. There were suitable systems for dealing with and learning from complaints, accidents, incidents and safeguarding alerts.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last inspection of the service was on 2 December 2021 (published 8 January 2022) and we rated the service requires improvement. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out a comprehensive inspection of this service on 2 December 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 78 Hoylake Crescent on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.