Samuel Hobson House

People's experience of the service and what we found: People were safeguarded from abuse and avoidable harm. The provider assessed risks to ensure people were safe. Staff took action to mitigate any identified risks. There were enough staff on duty to meet people's needs. Staff involved in handling medicines had received training around medicines. The provider was supporting people living at the service to minimise the spread of infection. People were able to receive visitors without restrictions in line with best practice guidance. There were systems in place to identify when things went wrong.

People's needs were assessed, and care plans were in place which contained information about the level of support required. The service made sure staff had the skills, knowledge and experience to deliver effective care and support. People had a variety of food and drink to meet their needs. The provider worked effectively with other agencies. People's individual needs were met by the adaption, design and decoration of the premises. 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.

People were treated well and respected as individuals. Where possible, people were involved in daily decision making. People's privacy, dignity and independence were respected and promoted.

People achieved good outcomes from their care. Care plans contained clear information about how best to support people with their communication needs. People were supported to maintain relationships, follow their interests and take part in activities that were relevant to them. People's concerns and complaints were listened to, responded to and used to improve the quality of care. People were supported at the end of their life to have a comfortable, dignified and pain free death.

The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery. An improvement plan was in place following a visit from the local authority. There was a positive and open culture at the service. The provider understood and met the duty of candour. Staff worked with external professionals which included GPs, speech and language therapists and district nurses.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk