Hugh Myddelton House

Although food was plentiful and freshly cooked, a number of people told us they could not influence the menu. This issue has now been addressed following the inspection.

Care plans were person centred, up to date and together with risk assessments provided staff with detailed guidance in how to care for people safely.

The home was clean and odour free. There were increased infection control measures, including daily audits, in response to the coronavirus outbreak.

Staff recruitment processes and procedures were safe. Essential checks on staff had taken place on staff before they started working for the service. Staff received the training and support to carry out their role effectively. Staff were busy at all times, but the service used a dependency tool to review staffing levels, and staff confirmed there were enough staff. We have made a recommendation in relation to staffing levels.

Staff understood how to safeguard people from abuse. The registered manager understood their obligations to notify relevant bodies of safeguarding concerns.

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.

There had been significant changes in staff personnel and management over the last year, however by the time of this inspection a newly established management team and recruitment of staff had taken place. Provider representatives supported the service in a number of ways, for example, undertaking audits and providing clinical and training support. Local audits in key areas took place.