26 January 2023
During an inspection looking at part of the service
Hagan Hall is an extra care and support service for people who are tenants. The service has 24 self-contained flats. There were 18 people using the service at the time of our inspection.
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 the Care Quality Commission (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.
People's experience of using this service and what we found
Right Support
Staff supported people to follow their interests, such as going to the local shops, film nights, meeting friends and going to events.
People were supported to access health and social care support by staff who valued and understood them well.
Staff worked positively with people to achieve their aims. They had a good understanding of what was a good and bad day for people. The mood at the service was calm and welcoming.
Staff ensured people took their medicines safely and had the right risk assessments in place.
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.
Right Care
There were sufficient staff to meet people’s needs safely and to ensure they felt safe.
Staff communicated with people well, understanding how they liked to be spoken with and what made them feel more at home.
Staff upheld people’s dignity. They respected and promoted people’s independence and the things that mattered to them.
Staff had recent refresher training on safeguarding and knew how to keep people safe. Where safeguarding protocols were not followed in line with local arrangements, the provider took immediate and robust action.
Right Culture
The ethos, values, attitudes and behaviours of the service were followed by staff. These were in line with the key principles of guidance such as Right Support, Right Care, Right Culture. Staff felt well supported and there was a permanent core to the team. Staff understood their roles and responsibilities.
There were regular audits of key areas of the service. The provider had already identified these needed to improve to ensure incidents could be fully reflected on and lessons truly learned.
Some areas of service oversight required improvement, such as the regularity of supervision and competence checks.
We have made a recommendation about this.
Staff felt supported, there was good morale and no reliance on agency staff.
People and those close to them had been involved in care planning. The provider had identified the need to improve the person-centred nature of some care documentation and this work was nearly complete at the time of inspection.
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 1 November 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.