Archived: Haddon House

Updated 26 February 2016

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 1 February 2016, was unannounced and was completed by one inspector and an expert by experience. An expert by experience is a person who has personal experience of working with or caring for someone who uses this type of care service.

Before the inspection, we asked the provider to complete and return a 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 any improvements they plan to make. The provider completed and returned the PIR form to us and we used this information as part of our inspection planning. We looked at information that we held about the service including information received and notifications. Notifications are information on important events that happen in the service that the provider is required to notify us about by law.

We asked for feedback from a community nurse, and representatives from the Peterborough City Council adult social care practitioner’s team. We also looked at reports completed by a representative of the access to resources team from Cambridge County Council following their recent visit to the home.

We observed how the staff interacted with people who lived in the service. We spoke with three people who used the service and three relatives of people using the service. We also spoke with the registered manager, office manager, acting team leader, senior support worker and support worker.

We looked at two people’s care records and two staff files. We also looked at the systems for monitoring staff supervisions, appraisals and training. We looked at other documentation such as quality monitoring records, surveys, building maintenance records and safety checks, business contingency plan, compliments and complaints and medication administration records.

Updated 26 February 2016

We carried out an unannounced comprehensive inspection of this service on 7 April 2015. A breach of two legal requirements was found. This was because accurate records of people’s medicines were not always held. There was not always sufficient staff on duty to meet the needs of people living in the home.

After the comprehensive inspection the provider wrote to us to say what they would do to meet the legal requirements in relation to the breaches.

We carried out this unannounced comprehensive inspection on 1 February 2016 to check that the provider had followed their plan and to confirm that they now met the legal requirements and also to check the overall quality of the service.

Haddon House is a registered care home providing accommodation and personal care for up to 15 younger adults who live with a learning disability or autism. There were eight people living at the home and one person on respite during the day at the time of our visit. The home has accommodation provided on two floors. Accommodation consists of single occupancy bedrooms with en-suite facilities and on the first floor there are two, two bedroom flats. There are internal and external communal areas, including kitchens, lounge/ dining areas, conservatory, activities room, sensory room, and a secure garden for people and their visitors to use. There are security cameras in all communal areas of the home and this was clearly communicated to people and their visitors via notices.

There was a registered manager in place. 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 Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. There were formal systems in place to assess people’s capacity for decision making. Where people had been assessed as lacking capacity to make day-to-day decisions, applications had been made to the local authorising agencies. Staff respected people’s choices about how they wished to be supported. Staff were able to show a sufficient understanding of MCA and DoLS to make sure that people would not have their freedom restricted in an unlawful manner.

People were supported by staff in a caring and respectful way that maintained their safety, but also supported their independence. People had individualised care and support plans in place which recorded their likes and dislikes, care and support needs and the person’s wishes and goals. These plans gave staff guidelines and prompts on any assistance a person may require and information on how they would like to be supported.

Risks to people were identified by staff. Plans were put into place to minimise these individual risks to enable people to live as safe and independent a life as possible. There were arrangements in place for the safe storage of people’s prescribed medicines. Staff understood their responsibilities in the management and recording of medicines. Medicines audits, to check the amount of medication held in stock, were carried out on a daily basis to ensure accuracy. Accurate and detailed records of medicines and medicines administration were kept.

Staff cared for people in a kind way. Staff took time to reassure people who were becoming anxious in an understanding manner. People and their relatives were able to raise any suggestions or concerns that they might have had with staff and the registered manager and were listened too.

There were a sufficient number of staff on duty to meet people’s individual care and support needs. Staff were trained to provide effective care which met people’s health and social care needs. Staff understood their role and responsibilities. They were supported by the registered manager to maintain their skills through supervision, appraisals, observations and training.

There was an on-going quality monitoring process in place to identify areas of improvement required within the home. Where improvements had been identified there were actions plans in place which documented any action taken.