We carried out a review of the data available to us about Haddon House 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 Haddon House, you can give feedback on this service.
The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 15 people. 15 people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area. There were deliberately no identifying signs, intercom, cameras, or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
We found the following examples of good practice.
The service was only receiving essential visitors at the time of our inspection.
The service had an area set up in the garden for visits to take place. Although visits had been paused at the time of our inspection, there was a booking system in place so that relatives and friends could book appointments to visit when visits resume.
People were supported by staff in full personal protective equipment (PPE), whether that person was COVID-19 positive or negative. This is called barrier nursing. This is to protect both staff and people living in the service from spreading infection.
The deputy manager told us that they had changed systems within the service to reduce the spread of infection. Staff were all being tested on arrival at the service to ensure they were safe to continue with their shift.
The building was clean and free from clutter. During our inspection we observed staff cleaning communal areas. The deputy manager told us that frequently touched areas were cleaned more often. They had a member of staff responsible for the cleaning of these areas each day.
Glenholme Haddon House Ltd is a residential care home providing personal care for up to 15 people who have a learning disability. Glenholme Haddon House accommodates people in one adapted building.
The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 15 people. 14 people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area. There were deliberately no identifying signs, intercom, cameras, or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
People showed they were happy living at Glenholme Haddon House, and that they felt safe and comfortable with the staff team. One person said, “Its great here and the staff are always around.”
Staff were kind and caring and knew each person well. Staff felt they received good support and enjoyed working at the service. There were enough staff to support people in the way they wanted. Staff received training, supervision, guidance and support so that they could do their job well. Staff respected people’s privacy and dignity and encouraged people’s independence.
Systems were in place to manage risks and keep people safe from avoidable harm. Medication was well managed. Staff followed good practice guidelines to prevent the spread of infection. The staff looked for ways to continually make improvements, worked well with external professionals and ensured that people were part of their local community. People were supported to be as active as possible.
Staff supported people 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.
Audits were carried out to monitor the service and address any improvements required. The registered manager notified the CQC of incidents that they were legally obliged to.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways: promotion of choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.
The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.
This service was registered with us on 10 October 2018 and this is the first inspection.
Why we inspected
This was a planned inspection as the service had yet to be rated since it registered with the CQC on 20 July 2018.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.