Hoylands House

“This assessment was to follow up on actions from the last inspection in 2022. At the last inspection the provider was rated requires improvement and found to be in breach of the legal regulations related to good governance and staffing. Although the provider was still experiencing some issues with recruitment and retention, improvements were found at this assessment, and the provider was no longer in breach of the regulations related to good governance and staffing.”

“We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The provider was able to demonstrate how they were meeting the underpinning principles of ‘Right support, right care, right culture’.”

“The provider was in the process of implementing a new care recording system and paper records were being reviewed as they were transferred onto the new system. We noted some care records were overdue review. However, care records were person centred and where recent changes to support had occurred paper care records had been revised to reflect support now required.”

“People were protected from the risks of abuse and staff were trusted to keep them safe. Staff had received training in how to safeguard people.”

“Governance systems were in place to monitor the standard of care people received.”

“Medicines were administered safely and learning from audits applied. Some improvements were needed around the administration of some creams and liquids. These were actioned by the registered manager.”

“Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults. Staff had the necessary safety checks in place before starting work and completed a full induction.”

“Staff treated people as individuals offering choice and supporting independence. Peoples protected characteristics were considered and staff understood individual preferences and listened to people.”

“At this assessment we reviewed all 5 key questions, and the overall rating is now good.”