Inspection on 27/08/09 for Hylton House
Also see our care home review for Hylton House for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 27th August 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
People living in the home have both learning and physical disabilities, some of whom have complex needs and limited communication abilities. There is an experienced manager and skilled staff team who know and understand each person`s specific needs and individuality. Plans of care are person centred, well created and closely reflect the specific needs of the person. This means that staff have clear information on how to support their needs and lifestyles. Staff closely monitor the health and wellbeing of the people living in the home and work in partnership with other agencies to ensure that each person`s health care needs are met. People living in the home are provided with a range of stimulating and varied activities to meet both their specific physical needs and social interests. This extends to both within the home and the local community. Staff have undertaken specialised training to provide therapeutic activities for people who have a sensory impairment. We received favourable comments on surveys about the home. A care professional wrote," the service users are the priority in all areas;communication with outside agencies is very good;the staff are well motivated,encouraged to try new things and innovative with their ideas." The home is kept clean, safe and furnished to an excellent standard that provides homely and comfortable surroundings for the people who live there. Specialist equipment is available so that people`s physical and sensory needs can be met. The home is managed by a committed and knowledgeable manager, who has demonstrated her awareness of each person`s assessed needs. The staff work well together to raise standards for the people who live in the home and to make sure that they are at the centre of its services. Positive arrangements are in place to protect people, respond to any concerns and to help represent their views where necessary. The staff show commitment and enthusiasm and good training and supervision systems support them to do their jobs well and reflect upon their performance and practice. The provider and the manager have a very positive approach to developing this new service and show a willingness to work with us to maintain and improve standards where necessary.
What has improved since the last inspection?
This was the home`s first inspection since registration so it is not possible to judge where improvements have been made.
What the care home could do better:
The reader should note that newly registered services cannot achieve an excellent rating at their first inspection as they would need to demonstrate a consistent track record over time. This service has more strengths than weaknesses and we recognised that the home is working hard towards excellent outcomes for people who use the service. Each person needs an up to date contract so that they have accurate information about all costs and facilities they can expect to receive. The manager`s working hours, staff roles and designated person in charge each day must be identified on duty rosters for clarity and legal purposes. Recruitment practices need to be more thorough, to ensure that people are kept safe from possible harm or poor practice. Full employment histories must be explored for all future employees and two references obtained that include the applicant`s most recent employer. Some improvements are needed in relation to the management of medication to ensure safer practice and minimise the risk of error. All stock medication must be checked regularly and recorded. Access to the medicine cabinet needs to be managed more securely. Operational visits to the home as required by regulation 26 had not fully started. As this is a new service, copies of these reports need to be sent to the Commission until further notice. This is so we can monitor how well the service is running in its first year.