Archived: Hyndburn Short Break Service

Updated 3 July 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

Hyndburn Short Break Service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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:

We gave two working days’ notice of the inspection. This is because we needed to ensure the registered manager was available in the office.

What we did:

Before the inspection, we reviewed the information we held about the service such as notifications. These are events that happen in the service the provider is required to tell us about by law. We also sought information from the local authority’s contract monitoring team. We used our planning tool to collate and analyse the information before we inspected.

We did not ask the provider to complete a Provider Information Return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with four people using the service, three relatives, two staff members, the business support officer, the team manager and registered manager. We looked at the care records of three people who used the service, looked around the premises observed staff interaction with people and activities that were taking place. We also examined a sample of records in relation to the management of the service such as staff files, quality assurance checks, staff training and supervision records, accidents and incidents, complaints and compliments.

Updated 3 July 2019

About the service:

Hyndburn Short Break Service is registered to provide accommodation and personal care. The service is designed to provide short term accommodation for up to five adults with a learning disability. The house is a detached property in a residential area. Accommodation is provided in five single bedrooms. The two bedrooms on the ground floor are equipped with overhead ceiling hoists and specialist bathing equipment. There is an enclosed private garden area to the rear of the property. At the time of the inspection, five people were using the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using the service:

People told us they felt safe and staff were kind and caring. Staff understood how to protect people from harm or discrimination and had access to safeguarding adults’ procedures. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. The provider operated an effective recruitment procedure to ensure prospective staff were suitable to work for the service. The staff carried out risk assessments to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection. People received their medicines safely.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s needs were assessed prior to them using the service. The provider had appropriate arrangements to ensure staff received training relevant to their role. New staff completed an induction training programme. Staff felt well supported by the management team.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Staff spoke with people in a friendly manner and people’s care plans reflected their likes and dislikes. Our observations during inspection, were of positive and warm interactions between staff and people. Staff were motivated and demonstrated a clear commitment to providing dignified and compassionate support. People were supported and encouraged to participate in a range of activities. People and their relatives had access to clear complaints procedure.

The registered manager monitored the quality of the service provided and ensured people received safe and effective care. This included seeking and responding to feedback from people in relation to the standard of care. The registered manager and staff made regular checks on all aspects of care provision and actions were taken to continuously improve people's experience of care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

At the last inspection the service was rated as good (Published 13 December 2016).

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow-up:

We will continue to monitor the service to ensure that people receive safe and high- quality care and re-inspect in line with the rating for the service. We may inspect sooner if we receive information of concern.