Hailey House

At the last inspection, the provider was in breach of the regulations because they had failed to ensure staffing deployment and training was in place, the environment was clean, safe and well maintained, people were involved in risks to their wellbeing and medicines management was not safe. At this assessment, people’s care and support, staffing, medicines, the premises and management oversight had improved so people’s experience of care overall had improved significantly. Improvements had been made and the provider was no longer in breach of the regulations relating to the question of Safe. People received safe care from staff who understood their personal and health care needs and followed healthcare guidance from professionals. People received care from staff who were suitably skilled and competent. Staff knew how to safely support people around their individual risks. The provider ensured people were safe and received care which met their individual needs, protected their rights, and safeguarded them from abuse and neglect. Medicines administration was managed safely by competent and trained staff and infection prevention and control practices had been improved.

People’s needs were assessed and monitored, and they were involved in the assessment process. Care plans were in place to ensure their care and support was person centred and effective. People were provided with a balanced diet and food and drinks of their choice. People were able to consent to their care and support as much as possible. Where people lacked the capacity to make decisions, these were made in their best interests, in line with legislation and best practice.

People were treated with respect and valued for who they were. People had some opportunities to be independent and given choice and control in their lives. People’s capacity to make decisions had been assessed and legal processes were in place to protect their rights.

At the last assessment, the provider was in breach of the regulations because people did not always receive care and support that was personalised and responsive to meet their needs. People were not supported to follow interests and to take part in activities that are socially and culturally relevant to them. At this assessment, we found people’s care was person centred and based on their individual needs. People and their families were listened to and involved in the life of the service. Improvements had been made and the provider was no longer in breach of the regulations relating to the question of Responsive. Staff were very responsive to people’s needs, likes and dislikes. They knew people well, their abilities and personalities. Barriers had been removed to ensure people were not discriminated against. Work was underway to ensure people had equal access to a range of social and leisure opportunities which were prioritised, planned and resourced. Information was in accessible formats so that people could understand and make informed decisions.

At the last assessment, the provider was in breach of the regulations because they had failed to ensure effective monitoring and management of the quality and safety of the service, oversight of incidents and safeguarding concerns, staffing, maintenance of the premises and people’s access to social and leisure activities. At this assessment, significant improvements had been made to the overall management, governance and quality of the service. Systems had been introduced which were effective and sustainable and involved people and staff in the development of the service using a collaborative and inclusive approach. The provider and manager had created a caring and inclusive culture for people and staff who lived and worked at the service.