Hillsborough House

Improvements had been made to ensure people were supported in a safe environment; for example, regular safety checks took place in the service and staff had undertaken fire drill practice and cleanliness in the service had improved. There were enough suitably trained staff working in the home and staff demonstrated a good understanding of people’s needs. However, we found some documentation relating to people who used the service contained inconsistent information. Risks to a person in relation to their medicines was also not in place and shortfalls were found in relation to medicines audits and processes. These shortfalls were raised with and addressed by the manager at the time of the assessment.

People’s views were now sought, listened to and acted upon. Their rights and individuality were supported. People could access care in ways that met their personal circumstances and protected equality characteristics. People could access care, treatment and support when they needed to and in a way that worked for them.

Strong leadership was now visible at the service. People, relatives and partners spoke positively about the new registered manager. Where necessary, external health and social care professionals were now involved in people’s care planning. There was an open culture and team working was now evident. However, we found one continued breach of the legal regulations relating to good governance. Care planning information and governance systems for the oversight of medicines was not always effective. We have asked the provider for an action plan in response to the concerns found at this assessment.