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HF Trust - No 3 & 4a Milton Heights Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 November 2019

About the service

HF Trust – No 3 & 4a Milton Heights is a residential care home that was providing support and personal care to five people with a learning disability at the time of the inspection.

People’s experience of using this service and what we found

The purpose of this inspection was to check if the provider had met the requirements of the warning notice. An action plan to address the warning notice carried out by CQC had been implemented. The provider and manager had taken steps to improve the service and ensured people received safer care. The requirements of the warning notice had been met and therefore the provider was no longer in breach of regulation 12 (Safe care and treatment) and regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

People’s individually assessed risks were recorded and dated appropriately. Improvements had been made to ensure people’s environments were kept safe. People’s medicines were safely managed including over the counter medicines.

People’s records had been improved to ensure they were accurate and complete. Staff had been given further training on completing electronic records to ensure relevant information was included.

The governance of the service had improved. This included effective quality assurance such as regular auditing records to ensure they were accurately completed to monitor risk. New systems were in place to ensure all recording was completed clearly by all staff.

Rating at last inspection and update:

The last rating for this service was requires improvement (published 27 April 2019) when there were continued breaches of regulation. Following our last inspection, we served warning notices on the provider and the registered manager. We required them to be compliant with Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 by 21 June 2019.

Why we inspected

This was a targeted inspection based on the warning notices we served on the provider and the registered manager following our last inspection. CQC are conducting trials of targeted inspections to measure their effectiveness in services where we served a warning notice.

We undertook this targeted 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 safety and governance of the service. The overall rating for the service has not changed following this targeted inspection and remains requires improvement. This is because we have not assessed all areas of the key questions.

Follow up

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.

Inspection areas

Safe

Requires improvement

Updated 12 November 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 27 April 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 27 April 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 12 November 2019

The service was not always effective.

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 12 November 2019

The service was not always well-led

Details are in our Well Led findings below.