We carried out a review of the data available to us about HD2-1 on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about HD2-1, you can give feedback on this service.
Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve mental capacity assessments, staff training and the quality assurance systems that were not always completed, recorded and maintained to drive improvement across the service to at least good. At this inspection on 08 November 2017 we found that the provider had completed the action plan and made improvements to the service.
The service had a registered manager in post. 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 provider had safeguarding adults’ policies and procedures in place and staff understood their responsibility to safeguard people they supported from abuse and also knew of the provider’s whistleblowing policy and procedure.
Risk to people had been assessed with appropriate management plans in place to mitigate risks. Where an accident or incident had taken place, the provider took action to reduce repeat occurrences. Each person had a support plan in place which was reviewed regularly to people’s changing needs.
Appropriate recruitment checks took place before staff began working at the service and there were enough staff available to support people’s needs. People were given the level of support they needed to take their medicines. Staff had completed medicines training and had a medicines procedure in place for recording to ensure medicines were managed safely.
People were protected from the risk of infectious diseases because staff had completed infection control and food hygiene training and had appropriate procedures in place to reduce the spread of infections. The provider had arrangements in place to deal with foreseeable emergencies.
Support was in place for staff in the form of induction and supervision to ensure they had appropriate skills to perform their role effectively. People were supported to eat and drink sufficient amounts for their wellbeing and to make healthy meal choices to manage their weight.
People were registered with appropriate healthcare services and were supported to make and attend appointments. The provider worked well together with other health and social care professionals to deliver a safe and effective service.
People’s privacy and dignity was respected and their independence promoted as part of their support plan. People had been consulted about their care and support needs and their views were respected. Staff understood that people’s diversity was important and respected their differences and choices.
People were encouraged to maintain relationships with their family and friends. People were provided with appropriate information about the service to ensure that they were aware of the standard of support they should receive. Where people had communication needs, information was provided in formats which met their needs. There was a complaints policy in place and people knew how to complain; however, they did not have anything to complain about at the time of our inspection.
Both the registered manager and staff demonstrated a clear understanding of the organisations values and vision. People’s views were sought through surveys, telephone calls and meetings to monitor and improve on the quality of the service.
The service had a registered manager in post. 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 provider did not conduct or maintain records of regular quality assurance systems to monitor and drive improvements to the service. The registered manager told us that checks took place, however there were no records of audit findings or improvements to the service. You can see the action we have asked the provider to take at the back of the full version of the report.
The registered manager and staff understood the Mental Capacity Act 2005 (MCA); however the provider had not completed capacity assessments for people using the service. Appropriate liaison had taken place with the local authority; however the provider had not ensured that people were not unlawfully deprived of their liberty through an application to the Court of Protection. Therefore, this area required improvement.
Staff training required improvement to ensure that all staff had completed fire safety training in line with the provider’s mandatory requirements.
Staff understood how to safeguard people they supported and keep them safe. The provider had taken appropriate steps to ensure safe recruitment processes were in place. At the time of inspection people were not receiving support with their medicines, however the provider had a medicines procedure in place and staff had received medicines training. Appropriate risk assessments were in place to mitigate risk to people using the service. There was a whistle-blowing procedure available. There were enough staff to meet people’s care and support needs.
Staff completed an induction when they started work. People were supported with a balanced diet. People were supported to access healthcare professionals as and when required.
People were treated with dignity and respect, and their privacy was taken into account. People's care plans provided guidance for staff on how to support people to meet their needs. The provider had a complaints policy in place and relatives were confident that complaints would be dealt with appropriately.
Staff said they enjoyed working at the service and that they received good support from management. The provider had processes in place to seek appropriate feedback from people and other professionals.