Background to this inspection
Updated
20 January 2022
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 two adult social care inspectors and one children’s services inspector.
Service and service type
Hawabu House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the nominated individual, registered manager, clinical operations manager and care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with three health professionals.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at observation records, physical intervention reports and notes from key worker sessions.
Updated
20 January 2022
About the service
Hawabu House is a residential care home providing accommodation and personal care for three children and one adult at the time of the inspection. The service can support up to six people.
People’s experience of using this service and what we found
People told us they felt safe and staff had received training in safeguarding and knew how to keep people safe. There were recruitment processes in place and recruitment checks were carried out before staff were appointed. This ensured suitable staff were appointed to support people. People’s medicines were managed safely. Staff followed infection control guidance and had access to personal protective equipment.
Staff received induction training and the provider carried out competency checks to assess whether staff were working in line with best practice.
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; the policies and systems in the service supported this practice.
People were supported by kind and caring staff who knew them well. People’s individual needs were respected and staff supported people with dignity and respect.
People’s care and support was planned in partnership with them and risk assessments were regularly updated.
The provider had an adult living at the service which could potentially pose a risk to children living there too, however, however, we did not find any immediate risk to people living at Hawabu House at the time of inspection. The provider carried out audits to oversee the quality of the service. The provider worked well with other health professionals to ensure the needs of people were met.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The model of care maximises people’s choice, control and independence. Care was person-centred and promoted people’s dignity. The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
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 14 January 2021).
Why we inspected
We received concerns in relation to the provider delivering care to children outside their registration conditions. As a result, we undertook a full comprehensive inspection to assess whether people were receiving safe, effective, caring, responsive and well-led care.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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. We will also meet with the provider to discuss how they intend to continue to provide care to the different age groups at the service.