Hunningley Grange Residential Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s needs were met through good organisation and delivery.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.Care plans were now more detailed and explained how people wanted to be supported and how staff should meet their needs. People’s care plans overall reflected their physical, mental, emotional and social needs, including those related to protected characteristics under the equality act. Some additional detail was required in some areas which was being addressed. Observations during the assessment, showed care provided was person centred and in line with people’s choices and preferences. Staff were able to answer questions about people’s support and aspects of their care, which demonstrated their understanding of the people they supported. A person commented, “Yes, they know me, and they let me do what I want.”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. Systems and processes now supported the appropriate sharing of information between stakeholders involved in people’s care. Records now included clearer guidance for staff on how to manage and identify any changes to people's health needs. This ensured that where changes were identified, advice from health professionals was sought in a timely manner to ensure continuity of care for people. Records showed that relevant health and care professionals were contacted when people needed to see them. One person told us, “They would get a doctor, they don’t as I don’t need a doctor.” A family member told us, “A dentist and chiropodist has come in.”

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. People were supported by staff who understood their communication needs. Within each person’s care file was a communication care plan, which detailed people’s ability to communicate and understand others, and provided guidance for staff on how best to communicate with each person. Communication within the service had improved and regular staff meetings were now being held.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result. We saw examples of how people’s views and opinions were sought. Regular resident and relative meetings were now held and surveys seeking feedback on care had recently been circulated. A relative told us, “I went to the meeting. [Name of Manager] introduced themselves and talked to all the residents and asked if there was anything they wanted.” A person commented, “There are meetings for people to go to and say what they would like.” The provider monitored both complaints and compliments received and shared key information with staff.

The provider made sure that people could access the care, support and treatment they needed when they needed it. Staff now supported people to access services in a timely way. Records showed people were supported with healthcare appointments both in the home and in the community and processes were not in place to ensure people did not experience any barriers in accessing the care and support they required. Staff were responsive to people and ensured they received care and support in line with their preferences and needs. People were treated fairly and equitably.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. People were seen to be receiving individualised support. There was now a positive atmosphere in the home and people told us they now were happy with the care and support provided. Although we saw staff throughout our visit spending time with people both staff and people said they would like more time for staff to do this. A new activities coordinator had been employed, and a range of activities was now on offer increasing people’s engagement and wellbeing, with plans for more community outings to also take place. The activities coordinator took time to gather information from staff about residents when they started as well as accessing care plans to gain individual knowledge of people’s preferences and interests and building new individual activities records. They told us, “The staff told me a lot of information about the residents when I came. I have access to their care plans. I know their history. [Name of resident] worked in a charity shop and likes to talk about it.”

People were not always supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. People told us they had been approached about their wishes for end-of-life care. However, care plans were still needing this detail of people’s preferences for end-of-life care recording. We asked the provider to address this and revisit this with people or family and friends where appropriate to ensure information was available to ensure their wishes were respected.