Background to this inspection
Updated
30 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one Adult Social Care inspector.
Service and service type:
The service is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulated both the premises and the care provided; both were looked at during this inspection.
The home accommodates three people and at the time of the inspection, two people were living in the home.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced.
What we did:
We spoke with both people living in the service. We also spoke with the registered manager and one support worker. We observed the care and support provided and the interaction between staff and people.
We looked at two people’s care records and associated documents. We looked at previous inspection reports, rotas, audits, staff training and supervision records, health and safety paperwork, accident and incident records, complaints and compliments. We also looked at records that related to how the home was managed, such as quality audits, fire risk assessments and infection control records.
Before our inspection we reviewed all the information we held about the home, including notifications of incidents that the provider had sent us. We looked at the Provider Information Return (PIR). 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.
Updated
30 May 2019
About the service:
Hilton House is a residential care home that is registered to provide personal care for up to three people who have a learning disability and/or autism. There were two people living at the service at the time of the inspection.
People’s experience of using this service:
Staff understood their responsibilities to protect people from abuse and discrimination. They knew to report any concerns and ensure action was taken. The registered manager worked with the local authority safeguarding adults team to protect people.
Staff were supported in their roles and received an effective level of training. They told us they were happy with the level of training and support they received and we observed them supporting people in a competent and caring manner.
People were protected from harm by the provider having effective systems in place to monitor medicine management, staffing, infection control and upkeep of the premises.
Staff promoted people’s dignity and privacy. Staff provided person-centred support by listening to people and engaging them at every opportunity. Staff were caring and understanding towards people. People using the service appeared comfortable in the presence of staff working in the service.
The premises provided suitable accommodation for people with communal areas and bedrooms which were personalised to peoples individual interests.
Support plans were detailed and reviewed with the person and their relatives when possible. Staff worked with and took advice from health care professionals. People’s health care needs were met.
People had a variety of internal activities and external activities, which they enjoyed on a regular basis.
The registered manager ran a well organised service. People’s views were sought, and opportunities taken to improve the service. Formal supervision meetings were carried out and staff were also supervised informally. They told us they were supported and clear about what was expected of them. Audits and checks were carried out, so any problem could be identified and rectified.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The care service supported people in line with the values that underpin the Registering the Right Support and other best practice guidelines. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Rating at last inspection:
The service was rated as Good at the last inspection. The inspection report for the last inspection was published on 09 February 2016.
Why we inspected:
This was a scheduled inspection based on the previous rating.
Follow up:
We will continue to carry out ongoing monitoring and will inspect the service in line with its rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk