23 June 2022
During a routine inspection
About the service
Hookstone Chase Harrogate is a residential care home providing personal care for up to five people. At the time of the inspection they were supporting four people with sensory impairment/loss and/or people living with learning disabilities and/or autism. Hookstone Chase Harrogate is a detached accessible bungalow.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
The service supported people to have the maximum possible choice, control and independence over their own lives. The service gave people care and support in a safe and clean environment. The provider had a plan in place to refurbish the service and make it better suited for the people living there.
People were able to personalise their bedrooms and display pieces of art they had created. Staff supported people to take part in activities and pursue their interests in their local area. However, staffing levels at times limited the opportunities people had. Staff enabled people to access specialist health and social care support in the community. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that promoted their privacy and dignity and achieved the best possible health outcomes. Staff supported people to play an active role in maintaining their own health and wellbeing.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse, the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service didn’t always have enough staff to meet people’s needs and keep them safe. This meant that people could not always take part in activities and pursue interests. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People who had individual ways of communicating, using body language and sounds, could interact comfortably with staff because staff had the necessary skills to understand them.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them, were involved in planning their care.
People’s views were valued and acted upon by staff. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 01 December 2020 and this is the first inspection.
The last rating for the service under the previous provider was good, (published on 15 April 2020).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support right care right culture. We also inspected this service to provide the new provider with a rating.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to staffing at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can see what action we have asked the provider to take at the end of this full report.