Archived: Hadleigh

Updated 8 March 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting 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 for the service under the Care Act 2014.

This announced comprehensive inspection was carried out on 12 February 2019 and undertaken by one inspector. We gave the service notice of the inspection because we needed to be sure that someone would be available.

We reviewed information we held about the service, including notifications we received from the service. Notifications are required by law and tells us about important events and incidents and the actions taken by the service. We also reviewed information sent to us from other stakeholders for example the local authority and members of the public.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We met five people who used the service and spoke with three of these people about their experiences of the care and support they were provided with. We also spoke with one person’s relative. To understand the care and support people received, we reviewed two people’s care records. We spoke with four members of care staff. We also reviewed records relating to the management of the service, and training records.

Updated 8 March 2019

Hadleigh provides care and support for adults with a learning disability, living in a ‘supported living’ house, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CCQ does not regulate premises used for supported living; this inspection looked at people’s care and support. At the time of the inspection visit on 12 February 2019, the service was providing the regulatory activity of personal care to four people. This was an announced inspection. The provider was given 24 hours’ notice of this inspection to make sure that someone was available to see us.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the service’s last inspection of 1 March 2016, this service was rated good overall and in each key question. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager in post. 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.

People continued to receive a safe service. Risks to people continued to be managed, including risks from abuse and in their daily lives. The service learned from incidents to improve practice. There were enough staff to meet people’s assessed needs. Recruitment processes continued to be safe. Where people required support with their medicines, staff followed safe practice. There were infection control processes to reduce the risks of cross infection.

People continued to receive an effective service. Staff were trained to meet the needs of the people using the service. Where people required assistance with their dietary needs, this was provided. People were supported to have access to health professionals, where needed. The service worked with other organisations involved in people’s care to provide consistent care. The service understood and worked to the principles of the Mental Capacity Act 2005.

People continued to receive a caring service. People had positive relationships with the care staff. Staff respected and promoted people’s dignity, privacy and independence. People’s views were listened to and valued.

People continued to receive a responsive service. People received care and support which was assessed, planned for and delivered to meet their individual needs. A complaints procedure was in place. There were no people using the service who required end of their life care, but systems were in place should this be required.

People continued to receive a service which was well-led. There were systems to assess and monitor the service provided and implement improvements where required. There was an open culture and people were encouraged to share their experiences of the service and these were used to drive improvement.