Hebe Healthcare Cape Hill

Updated 28 August 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

This service provides care and support to people living in one ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service did not currently have a registered manager as the previous manager had recently left the service. It is a condition of the providers registration that the service has a registered manager in post. However, an acting manager was in place who intended on applying to become the registered manager for the service. The provider and registered manager are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service before the inspection. We sought feedback from the local authority who work with this service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with two people who used the service about their experience of the care provided. We spoke with the acting manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with three members of staff.

We viewed a range of records. This included three people’s care records and medication records. We looked at three staff files to check the providers recruitment and supervision process. A variety of records relating to the management of the service were reviewed to ensure people received a good quality service.

After the inspection –

We spoke with two relatives and the registered provider. We continued to seek clarification from the provider to validate evidence found.

Updated 28 August 2019

About the service

Hebe Healthcare Cape Hill is a supported living service providing personal care to five people at the time of the inspection. Hebe Healthcare Cape Hill provides care to people who have individual flats in one building. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

People received safe care. People were supported by staff who understood the appropriate action to take should they be concerned about their safety. The risks associated with people’s care had been identified and plans put in place to minimise these. Staff had been recruited safely and action was taken during the inspection to ensure appropriate staffing levels were in place. People were supported to take their medicines safely.

People did not always receive effective care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, the policies and systems in the service did not always support this practice and we found improvements were needed in the formalising on best interest meetings. People were supported to receive appropriate healthcare in line with their specific needs although the information available for staff on healthcare conditions needed further detail. Staff had received training in line with people’s needs. People were supported to eat and drink meals of their choosing.

People received support that was caring, compassionate and kind. People were involved in all aspects of their care. People had their dignity and privacy respected and their independence promoted.

People received care that was responsive to their needs. People had been involved in developing their care plans and reviewing them as and when their needs changed. Where the service was responsible people were supported to follow their interests and hobbies. People were able to raise concerns and complaints and be assured these would be investigated.

The service was not consistently well-led. Whilst systems were in place to monitor the quality and safety of the service the providers systems needed to become more robust to enable all aspects of the service to be monitored. People and staff were able to feedback their views of the service and had opportunities to suggest improvements. The leadership in the service had recently changed and the current management team acted openly and responsively during the inspection ensuring they took immediate action to remedy any areas of improvement we identified.

Rating at last inspection-

The last rating for this service was Good (published 28 October 2016).

Why we inspected-

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk