22 November 2022
During an inspection looking at part of the service
Hoylands House is a residential care home providing personal care to up to 8 people with a learning disability and autistic people. At the time of our inspection there were 6 people using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right support:
Staff supported people to have some choice and control in their everyday lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Their ability to do this had been impacted by staffing shortages in the service which meant people were not always able to attend planned events and sometimes had to share support. The registered manager told us they had struggled to recruit staff. Staff recruitment is a known difficulty across the adult social care sector.
Right Care
People were not always supported by enough staff on duty who had been trained to do their jobs properly. The provider used effective infection, prevention and control measures to protect people from infection control risks. We were assured that the provider was using PPE effectively and safely. Staff supported people safely with their medicines and worked with health professionals to achieve good health outcomes. People lived in a safe and well-maintained environment which was set up to maximise their independence.
Right Culture
There were a number of areas we identified as requiring improvement during the inspection. Whilst the provider had systems in place to identify these, the systems had not been effective in ensuring the required changes had been made in a timely way.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 December 2018).
Why we inspected
We received provider level concerns. During the inspection we identified concerns relating to the staffing levels , staff training and governance.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this full report.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We looked at infection prevention and control measures under the safe key question. We looked at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to COVID-19 and other infection outbreaks effectively.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hoylands Hall on our website at www.cqc.org.uk.