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Inspection report

Date of Inspection: 15 April 2014
Date of Publication: 16 May 2014
Inspection Report published 16 May 2014 PDF

Overview

Inspection carried out on 15 April 2014

During a routine inspection

During our inspection the inspector considered our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, the staff supporting them and from looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

People were treated with respect and dignity by the staff. We saw information displayed in the office about abuse that included contact details for the local county council safeguarding team and a flow chart that detailed the process that staff should follow if they had any concerns about possible abuse.

Staff we spoke with were able to tell us there were different types of abuse, the signs they may observe that suggested possible abuse and were clear about the process to follow.

The manager told us that no applications had needed to be submitted regarding Deprivation of Liberty.

Systems were in place to make sure that managers and staff learnt from events such as accidents and incidents, complaints, concerns. This reduced the risks to people and helped the service to continually improve.

Is the service effective?

One person told us that they had support from a financial adviser and the manager explained that people were offered the support of a solicitor who specialised in the needs of older people. This showed that appropriate external support was available to people if this was required.

We saw that care plans included the identified need, a goal and action. Details of what the person was able to do independently and the level of support that people required to meet these needs was detailed in the actions required. This showed that care plans were centred on the person as an individual.

We saw that the environment was safe and spacious; necessary equipment was provided to meet the needs of people living at Hummingbird Care.

Is the service caring?

One person told us that �the treatment of individual�s needs is exceptional; it is in a class of its own. Staff are very respectful and very helpful in my experience�.

During our visit we observed staff respectfully speaking with people and giving people choices. We saw that the atmosphere was very calm and relaxed and people were given time to make decisions and not rushed.

We looked at three care folders during our visit. We saw that these contained details of people�s preferences and likes and dislikes and references to people having choice and control in their lives.

We saw a weekly programme of group activities and individual sessions that was developed for each person. One person told us that �we have a quiz tomorrow and an arts group. We had entertainment last week; lots of things happen�.

One person told us that staff were �very good caring people. The manager has been very supportive during my move. People say they like the family feel, a lovely atmosphere. I have been able to bring my own things and had help to fill out forms�.

Is the service responsive?

We were given examples of one person who had kept a dog at home and missed this. A dog sitting arrangement had been agreed so the person looked after a dog for one and one half hours a week. Another person who was a farmer was keen to go to a livestock market and this had been arranged.

The manager told us that access to the hydrotherapy pool at Musgrove hospital had been arranged so that people could access hydrotherapy with a physiotherapist. Balance classes (that are designed to improve balance, strength and posture of older people and reduce the risk of falls) have been run at the home with the intention of continuing these in the future. Links were developed with the local community through coffee mornings and other activities. This showed that people had opportunity to access to a wide range of therapeutic and social activities.

Is the service well-led?

Staff had a good understanding of the ethos and the quality of care they were expected to provide. One member of staff we spoke with told us �It is such a lovely environment, we like to break down barriers and show people what we are doing; we are really proud of what we are doing here�.

Staff we spoke with told us there was excellent written and verbal communication between staff and between shifts with processes in place to ensure that staff had read information provided by the manager. This helped to ensure that people received a good quality service at all times.