Hatton Grove

Updated 6 February 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 29 November 2017 and 8 January 2018 and the first day was unannounced.

This was a comprehensive inspection and the first day was carried out by two inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR) in October 2017. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, including notifications we had received from the provider and the findings of previous inspections. Notifications are for certain changes, events and incidents affecting the service or the people who use it that providers are required to notify us about.

Most people using the service had complex needs and were not able to communicate with us verbally. We carried out general observations and used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not speak with us.

We looked at the care records for five people who lived at the service and the staff training, recruitment and supervision records for three members of staff. We also looked at other records the provider used for managing the service, which included quality audits, health and safety checks of the environment and equipment, records relating to medicines management, records of complaints and meeting minutes.

During the inspection we spoke with one person using the service, one relative, the registered manager, two team leaders, three care staff, a domestic member of staff and a visiting healthcare professional.

Following the inspection we received feedback from the relatives of two people who lived at the service and one external professional via email.

Updated 6 February 2018

We inspected Hatton Grove on 29 November 2017 and 8 January 2018. The first day was unannounced.

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.