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Archived: Self Unlimited - 45 Horsebrook

Overall: Good read more about inspection ratings

45 Horsebrook, Calne, Wiltshire, SN11 8HG (01249) 811222

Provided and run by:
HF Trust Limited

Important: The provider of this service changed. See old profile

All Inspections

20 August 2015

During a routine inspection

45 Horsebrook offers care and accommodation for up to five people with a learning disability. It is run by HF Trust which is a national charity providing services for people with a learning disability. At the time of our inspection there were four people living in the home.

The inspection took place on 20 August 2015. This was unannounced inspection. During our last inspection in March 2014 we found the provider satisfied the legal requirements in the areas that we looked at.

A registered manager was not currently employed by the service. The home was being overseen by the Registered Manager from HF Trust – Wiltshire DCA. A registered manager is a person who has registered with the Care Quality Commission 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 2008 and associated Regulations about how the service is run.

When asked if they liked living at 45 Horsebrook people said “Yes”. People told us that staff they felt supported by staff and could ask for help when needed. We observed staff interacting with people in a kind and friendly manner, involving people in choices around their daily living.

There were systems in place to protect people from the risk of abuse and potential harm. Staff were aware of their responsibility to report any concerns they had about people’s safety and welfare. People told us they felt safe living in the home.

Staff told us they felt supported. Staff received training and supervision to enable them to meet people’s needs.

There were enough staff deployed to fully meet people’s health and social care needs. The registered manager covering the service and provider had systems in place to ensure safe recruitment practices were followed.

People’s medicines were managed appropriately so people received them safely. People were supported to be independent and manage their own medicines where appropriate.

People were supported to eat a balanced diet. People had access to the kitchen where they could make drinks throughout the day.

People were supported to access healthcare services to maintain and support good health.

Arrangements were in place for keeping the home clean and hygienic and to ensure people were protected from the risk of infections.

The registered manager and staff had knowledge of the Mental Capacity Act 2005. The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

24 March 2014

During an inspection in response to concerns

Before our inspection, we received some information of concern, which indicated staffing levels were insufficient to meet people's needs. The information also indicated one person did not consistently receive the one to one staff support they required.

When we arrived at the home at 8:40am, there was one staff member on duty with five people who used the service. Another staff member and a new member of staff arrived at 9am to take some people to their day service. Two people stayed at home with one staff member.

People were well supported throughout our visit. There were positive interactions and people were encouraged to be involved in discussions and talk about their day ahead. People told us about things they liked to do such as horse riding, watching football and going into town for a coffee. People told us they liked living at the home. They were relaxed within their environment and with the staff on duty.

Staff told us there were sufficient numbers of staff on duty to meet people's needs. Staffing levels had recently been increased to ensure one person had additional support and to enable two staff to be on duty at key times of the day.

People had lifestyle plans in place. The information contained details about people's daily routines, their likes, dislikes and any potential risks to their safety. Specialised health care personnel had undertaken management plans in relation to health care conditions and behaviours which challenge.