Background to this inspection
Updated
16 October 2015
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 met 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 under the Care Act 2014.
This inspection took place on 31 July 2015 and was unannounced. The inspection was undertaken by one inspector due to the size of the service.
Before our inspection we reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us by law.
During the inspection we observed staff support people who used the service, we spoke with five people who used the service, five support staff, the deputy manager and the registered manager.
We spoke with one relative subsequent to the inspection visit to obtain their feedback on how people were supported to live their lives. We also received feedback from representatives of the local authority health and community services.
We reviewed care records relating to three people who used the service and other documents central to people’s health and well-being. These included staff training records, medication records and quality audits.
Updated
16 October 2015
The inspection took place on 31 July 2015 and was unannounced. When we last inspected the service on 19 June 2014 we found them to be meeting the required standards. At this inspection we found that they had continued to meet the standards.
People living at the home and their relatives were positive about the home, the managers and the staff. Their feedback was sought and any suggestions were acted upon.
Hagden Lane is registered to provide accommodation for up to 6 people with mental health needs and learning disabilities. It does not provide nursing care. At the time of our inspection there were six people using the service.
The home had a manager in post who is registered with the Commission. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
CQC is required to monitor the operation of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves or others. Staff knew how to recognise and respond to allegations of abuse.
People felt safe at Hagden Lane and were confident to approach the staff for their support. People had health care and support plans in place which ensured staff knew how people liked their needs to be met. Risks to people’s safety and welfare had been identified and care had been planned to enable people to live as safely and independently as possible.
There were sufficient numbers of staff available to meet people’s care and support needs. Medicines were managed safely and people received their medicines in accordance with prescriber’s instructions.
Staff members understood their roles and responsibilities and were supported by the manager to maintain and develop their skills and knowledge. People enjoyed a varied healthy diet and their health needs were well catered for.
The atmosphere of the home was both welcoming and relaxed. Staff had developed positive and caring relationships with the people they supported. People were actively involved in all aspects of their care and support as much as they were able. People were supported to access support from external advocacy services to help them make decisions about matters in their daily lives. Relatives and friends were encouraged to visit at any time and people were actively supported to maintain relationships that were important to them. Staff promoted people’s dignity and treated them with respect.
The confidentiality of information held about people’s medical and personal histories had been securely maintained. People were supported to be individuals. The provider had made arrangements to support people and their families to raise concerns and regular meetings were held for people to discuss all aspects of the care and support provided in the home.
Measures were in place to monitor the quality of services provided, reduce potential risks and drive improvement. The manager co-ordinated and delegated specific responsibilities with regard to monitoring of all aspects of service provision. They personally and regularly checked key aspects of service provision in a formalised and structured way.