Background to this inspection
Updated
5 February 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
The inspection took place on 8 December 2015 and was unannounced. The inspection was carried out by one adult social care inspector and an Expert by Experience. An Expert by Experience is someone who has personal experience of using or caring for someone who has used this type of service. The Expert by Experience who assisted with this inspection had experience of supporting older people with dementia and other health problems associated with old age.
Before this inspection we reviewed the information we held about the service, such as notifications we had received from the registered provider and information we had received from the local authority who commissioned a service from the home. We also read the report prepared by Healthwatch following an Enter and View inspection in May 2015; Healthwatch is the independent consumer champion for health and social care in England. The provider was not asked to submit a provider information return (PIR) prior to the inspection. 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.
On the day of the inspection we spoke with five people who lived at the home, one relative, the registered provider, the registered manager, three members of staff, a visiting social care professional and a visiting health care professional. Following the day of the inspection we spoke with another social care professional.
On the day of the inspection we spent time looking at records, which included the care records for four people who lived at the home, the recruitment and training records for one member of staff and other records relating to the management of the service, including staff training and quality monitoring records.
Updated
5 February 2016
This inspection took place on 8 December 2015 and was unannounced. We previously visited the service in November 2013 and we found that the registered provider met the regulations we assessed.
The service is registered to provide accommodation for up to 21 people who require assistance with personal care. On the day of the inspection there were 15 people living at the home. The home is situated in Hook, a village close to the town of Goole, in the East Riding of Yorkshire. The property is a listed building that is situated within its own grounds.
The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager in post who was registered with the Care Quality Commission (CQC). 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.
People told us that they felt safe whilst they were living at Hook Hall. People were protected from the risks of harm or abuse because the registered provider had effective systems in place to manage any safeguarding concerns. Staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm. Staff also told us that they would not hesitate to use the home’s whistle blowing procedure if needed.
Staff confirmed that they received induction training when they were new in post and told us that they were happy with the training provided for them. Staff had received training on the administration of medication and people told us they were happy with how they received their medicines.
New staff had been employed following the home’s recruitment and selection policies and this ensured that only people considered suitable to work with vulnerable people had been employed. On the day of the inspection we saw that there were sufficient numbers of staff employed to meet people’s individual needs.
People told us that staff were caring and that their privacy and dignity was respected. People told us that they received the support they required from staff and that their care plans were reviewed and updated as required.
People’s nutritional needs had been assessed and they told us they were very happy with the food provided. We saw that people were encouraged to drink throughout the day.
There was a complaints policy and procedure in place and we saw that any complaints or concerns raised had been dealt with professionally. There were systems in place to seek feedback from people who received a service, and feedback had been analysed to identify any improvements that needed to be made.
The quality audits undertaken by the registered provider were designed to identify any areas that needed to improve in respect of people’s care and welfare. Staff told us that, on occasions, incidents that had occurred had been used as a learning opportunity for staff.