Hatton Grove

Hatton Grove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Hatton Grove is one building and within this are four flats. In total there are 20 bedrooms for adults who have a learning and/or physical disability. There was twenty people living in the service at the time of the inspection.

There was a registered manager in post at the service at the time of our inspection. 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.

The last inspection took place on 9 and 10 November 2015. At the last inspection the service was rated Good. At this inspection we found the service remained Good.

The provider had systems in place to safeguard people from the risk of abuse and staff were confident they would report any concerns.

People were safely cared for at the service. Their needs were assessed and staff understood how to keep people safe and followed guidance around this.

There were risk assessments outlining how to avoid harm and support people in the way they needed and the staff followed these.

Where appropriate, people’s end of life wishes were discussed and recorded.

The provider had good practice guidance, technology and equipment in place to enhance the care and support of people.

People received person centred health care and support as the staff worked in partnership with other professionals.

Checks were carried out during the recruitment process to ensure only suitable staff were employed.

There were arrangements in place for the safe management of people’s medicines and regular checks were undertaken.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. The policies and systems in the service supported this practice.

People were supported by staff who were suitably trained, supervised and appraised.

Relatives told us that the management team was approachable and supportive. People and their relatives were supported to raise concerns and give their views on the service.

There were appropriate systems for assessing the quality of the service and making improvements. Records relating to people and the running of the service were in place and up to date.

Hatton Grove provides accommodation for up to 20 adults who have various needs including learning and physical disabilities. There were four units (known as flats) in the service.

There was a registered manager in post. 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.

Relatives told us they felt their family members were safe living in the service. They said they were well looked after by the staff. Any risks they might encounter in their daily lives were assessed by the staff and action taken to minimise any harm to them.

Staff had been trained in safeguarding and knew how to recognise and report any abuse.

Staff received regular support and training in a range of subjects to ensure they had the right skills and knowledge to work with the people using the service.

Staff engaged with people and offered support to promote their independence. They understood people’s individual needs and treated them with kindness and patience.

We found the service to be meeting the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). DoLS provides a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them. Staff understood people’s right to make choices for themselves and where necessary, for staff to act in someone’s best interest.

Care records reflected people’s health and social care needs. Staff had received support from healthcare professionals and worked together with them to ensure people's individual needs were being managed.

Appropriate arrangements were in place to manage people's medicines. Medicines were stored and administered safety.

The provider carried out checks to make sure staff were suitable to work with people using the service and there were enough staff to meet people’s needs.

The provider had a complaints procedure and relatives told us they knew how to make a complaint or what to do if they were unhappy about something in the service.

The service was well-led by a registered manager who was visible and spoke with passion about providing a good quality of life for the people at the service. There were systems in place to monitor people's quality of life.

People and/or their representatives were involved in decision making about their care and assessments were taking place where people lacked capacity to ensure that any decisions were made in their best interests.

People's needs were assessed and care plans developed to inform staff about what action they should take to meet these needs effectively. We observed positive interactions between staff and the people using the service and people told us that staff supported them well. One person said, 'the staff are nice and they make me laugh' and a relative told us, 'is very happy here, staff listen when we raise any concerns.'

The home was clean and well maintained and staff told us that repairs were completed promptly.

Staffing levels were sufficient to meet people's needs and additional staff were available to support people to attend appointments and participate in activities.

There was an effective system in place for managing complaints about the service.

People's routines were respected by staff. For example, the four care plans we viewed included people's preferred daily routines and staff were able to tell us how they made sure these were followed. One person told us 'I get up at 7:00 and go to bed about 11:00'. The care plans covered a range of social and health care issues. We saw that care plans had been reviewed at least annually and there was evidence the person and their relatives were involved in the review.

We saw that each person had a programme of activities, supported by staff. None of the people using the service attended day services and all community support was provided by staff from the home. Staff told us they received ongoing training which enabled them to carry out their roles effectively.

Monthly monitoring visits were made to the service by another manager which assessed the care people received. The home's manager also carried out a range of audits and checks to ensure people lived in a safe environment and were appropriately supported in their everyday lives.