Halland House

Staff completed training that reflected the needs of people who lived at the home. There were regular environmental safety checks and the home was currently being refurbished and updated.

Improvements were needed in relation to medicines to ensure they were managed safely. Staff were knowledgeable about abuse and knew how to raise concerns and alerts. Risks to people were managed in the least restrictive way possible. Staff knew people well and understood the risks associated with their support needs.

However, care plans and records did not always contain the relevant or up to date information. Work was ongoing to improve this.

People’s support needs were assessed and reviewed on a regular basis, to help ensure their needs continued to be met. However, improvements were needed to ensure people’s care plans included all the relevant information. Key worker reviews were being developed to support people to identify goals and aspirations but these had not been fully implemented. Staff were aware of the importance of asking for people’s consent before supporting them and ensuring their wishes were respected.

People were encouraged to make their own decisions and choices about their day-to-day life. People were supported by staff who were kind and compassionate. They promoted a supportive environment where people’s independence was promoted. However, some staff told us they did not always feel supported. We raised this with the management team as an area to review and develop.

People received support that was person centred. Staff helped to ensure people were treated fairly, with respect and without fear of discrimination. Information was provided in a range of formats such as pictorial and Easy Read to meet people’s individual needs. Improvements were needed to ensure all relatives who wished to be, were involved in communication about their loved ones. Consideration was also needed to be given to the range of activities available to people who had become more frail with age.

We found improvements were needed to some aspects of governance and record keeping at Halland House. Improvements were also needed to some care plans and risk assessments to ensure they contained all the relevant information to guide staff.

The management team had identified improvements were needed at the home. Changes had been introduced and this included a range of checks and audits. Action plans had been developed to address the identified shortfalls and these were regularly reviewed at weekly management meetings. However, these had not always been recorded and did not identify all the areas for improvement we found.

Although some staff told us they did not feel supported all staff were committed to improving and developing the service for the benefit of people.