- Care home
Hydon Hill - Care Home with Nursing Physical Disabilities
Report from 7 December 2023 assessment
Contents
Ratings
Our view of the service
Hydon Hill is registered to provide accommodation and personal care for people who may have a nursing need, a disability, learning disability or an acquired brain injury. Our assessment commenced on 3 January and was completed 9 January. As part of our assessment methodology for people with a learning disability and autistic people, we assess if services are meeting the Right Support, Right Care, Right Culture (RSRCRC) statutory guidance. This includes: Right support: Model of care and setting maximises people's choice, control and independence. Right care: Care is person-centred and promotes people's dignity, privacy and human rights. Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. At our last inspection, we identified the service needed to make improvements to meet these principles as some people’s choice and control over their lives was not maximised. During our recent assessment, we found that the service had not made the improvements required in this area and was still not meeting the RSRCRC guidance. At our last inspection we identified breaches of Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 18 (Staffing) of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During our assessment we found the provider was no longer in breach of Regulation 18 but further improvements were required in this area. We also identified the provider had not made the required improvements and was still in breach or Regulation 12 and 17. During our latest assessment we identified breaches of Regulation 9 (Personalised care), Regulation 10 (Dignity and respect) and Regulation 11 (Mental Capacity) of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
People's experience of this service
People and relatives spoke fondly of the staff and we observed kind day to day interactions between staff and people. People’s basic care needs such as personal care were also met. However, some practices within the service were undignified and institutionalised. People and their relatives gave mixed feedback on the provision of activities available within the service. People were not always supported to take part in activities that were meaningful to them due to inflexible staff shift patterns and a lack of a driver in the evenings and at the weekends. Those with communication needs were not supported to have their voices heard. For people with a learning disability, the principles of RSRCRC were not met as the model of care provided did not allow people to live empowered lives with maximum choice and independence.