Hambleton House

We were mostly assured infection prevention and control was well managed at the service. Safe recruitment checks were in place and the provider obtained employment references to ensure staff were suitable. People were protected by an effective safeguarding system and people told us they felt safe. Staff were trained in safeguarding and understood how and when to raise concerns.

There was an effective system in place to monitor incidents. This was reviewed to identify themes and make service improvements. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care: People's medicines records were well managed supporting safe medicines practices. People received their medicines as prescribed. Medicines were safely stored, and regular stock checks and audits took place.

There was consistent evidence that people's health and wellbeing improved after they moved to the service. Key workers gained regular feedback from the people they supported regarding their likes and dislikes. People were supported to access treatment from health care professionals.

Right Culture: Some quality assurance systems were not always effective. The provider described what they would do to improve their quality oversight systems. There was a good rage of skills across the management

team and directors, creating an effective and dynamic team. Feedback about the directors and management team was positive and staff were clear about their roles and responsibilities.

We observed positive and friendly interactions between staff and residents. The provider sought involvement from the local authority to support people to achieve good outcomes.

The provider understood their legal responsibilities in relation to duty of candour. The provider was open and forthcoming during the inspection and demonstrated commitment to the staff and residents at the service.

There was an effective on call system in place to provide staff with managerial support out of hours. Regular staff and resident meetings took place to encourage people to provide feedback. There was an effective system in place that supported staff development and continuous learning.