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Care Services

carehome, nursing and medical services directory


Hurst House, Swindon.

Hurst House in Swindon is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care and learning disabilities. The last inspection date here was 26th February 2020

Hurst House is managed by Community Homes of Intensive Care and Education Limited who are also responsible for 67 other locations

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Outstanding
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2020-02-26
    Last Published 2017-07-11

Local Authority:

    Swindon

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

24th May 2017 - During a routine inspection pdf icon

Hurst House is a care home which provides accommodation and personal care for up to 10 people with learning disabilities. At the time of our inspection nine people were living at the home. Hurst House has bedrooms over two floors with a stair lift to the first floor. The home had been recently renovated to include a communal lounge and dining room. In addition, two smaller rooms had been created as ‘quiet’ rooms.

We carried out this inspection over two days on the 24 and 31 May 2017. The first day of the inspection was unannounced. At the last comprehensive inspection in March 2015, we identified the service was not meeting all of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The service did not consistently follow safe practice around the administration, storage and disposal of medicines. People's wishes and preferences were not always being taken into account when their care was planned and people’s privacy and dignity was not fully respected. At this inspection, we found the provider had made the required improvements.

Medicines were administered safely and people received their medicines on time. There were sufficient staff available to meet people’s needs and staff were available and visible throughout our visit.

Before people moved into the home, a risk assessment was carried out to ensure any potential risks around the person’s day to day living were identified. Risk assessments and support plans to mitigate risks were regularly reviewed to ensure they were relevant and gave up to date guidance to help staff keep people safe. Staff were knowledgeable about keeping people safe and were aware of their responsibilities in protecting people from harm.

Staff received mandatory training as set by the provider and also specific training based around people’s individual needs. This enabled a person centred approach to supporting people according to their wishes and enabled positive outcomes for people. Staff received appropriate support through a system of supervision and appraisal.

We observed people were well supported with their nutrition and hydration needs and made choices about the variety of food on the menu.

People and families told us the staff were caring, attentive and respectful towards them. We observed this was the case throughout the inspection.

For each person there had been very positive outcomes with progress made in their emotional wellbeing, communication, daily living skills and independence. A social care professional told us the team at Hurst House went to great lengths to assist one person with their preferred living arrangements, to the extent that a new annexe was built onto the main house for this person to live. Due to the outstanding level of care and support people received, three people were able to stop taking medicines used to treat behavioural conditions which had a positive impact on their wellbeing.

The support and care which people received was responsive to their needs and supported people to realise their ambitions for example, one person was supported to be able to travel widely to different countries which they had always wanted to visit. People were at the forefront of decision making around their care and support and were empowered to reach their full potential. The quality of life for one person who had recently moved into the home had improved dramatically due to the support they had received. The person was now sleeping well, showering on a daily basis, going out into the community on a regular basis, enjoying shopping trips for new clothes and meals out.

The home had been refurbished throughout and gave people more usable space to meet their needs, such as a quiet room. People liked the décor and furnishing and furniture were of a good quality.

There was a system of audits in place to assess the safety of the service and quality of care which people received. People were involved and supported to express their

17th March 2015 - During a routine inspection pdf icon

Hurst House is a residential care home providing personal care for up to ten people who have a learning disability or mental health need. At the time of our inspection there were nine people living at Hurst House.

The inspection took place on 17 March 2015 and was unannounced. The service had a registered manager who was responsible for the day to day operation of the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager was present on the day of the inspection.

People were not always safe. The service did not consistently follow safe practice around the administration, storage and disposal of medicines. There were some practices which we found institutionalised. This resulted in people's privacy and dignity not being fully respected. People's wishes and preferences were not always being taken into account when their care was planned.

Staff worked closely with health and social care professionals for guidance and support around people’s care needs. The care records demonstrated that people’s care needs had been assessed and considered their emotional, health and social wellbeing. People’s care needs were regularly reviewed to ensure they received appropriate care, particularly if their care needs changed.

Training was available to ensure that staff had the necessary skills and knowledge to be able to support people appropriately. There were systems in place to ensure that staff received support through supervision and an annual appraisal to review their ongoing development.

There were clear values about the quality of service people should receive and how these should be delivered. The registered manager and staff told us they valued the people they cared for and strived to provide a high quality of care.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. Which corresponds to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.you can see what action we told the provider to take at the back of the full version of this report.

1st November 2013 - During a routine inspection pdf icon

We saw that care and treatment was planned and delivered in a way that ensured people’s safety and welfare. People who used the service and their relatives praised the quality of care provided by the staff. One person said, ”This is my home and I love it here.” A relative told us, “The home is absolutely brilliant. We’ve been delighted with the care he receives. We’ve been visiting a long time and you can see how everyone there is happy and thriving.”

The home ensured that the food and drink provided was nutritionally balanced and supported the health needs of people. We saw that the provider had identified people’s nutritional risks and had implemented effective measures to manage them.

The provider responded appropriately to any allegation of abuse. A number of safeguarding issues had been reported since the last inspection which had been recorded and investigated thoroughly.

People told us that they knew what medicines they were taking and why. We observed medication being administered safely in a way the person chose.

We found that the provider had an effective training and supervision process. This ensured people were safe and their health and welfare needs were met by competent staff.

We read the provider's complaints policy and procedure. This showed that the provider had a clear system for receiving, handling and responding to comments. People told us they were aware of the complaints system and that this was provided in an easy to read format.

30th November 2012 - During a routine inspection pdf icon

We spoke with five people who lived in the home. One person told us that they were about to decorate a yoghurt dessert for the evening meal. They said that they liked to help with the cooking. We saw that the other people all took turns to decorate their yoghurt with the support of a member of staff. The other people told us about their activities. One person said that they went to a gardening service once a week and they enjoyed digging. Another person told us that they had a range of activities including going shopping and going to cafes. They all said that they enjoyed going out to do personal shopping.

People had consented to their care and treatment. Where people did not have the capacity to consent decisions would be made in their best interests. People's needs were assessed and they had individual person centred plans to make sure that their needs were met.

Medicines were managed safely and were given to people individually so that people got the right medication at the right times. There were appropriate medication records and arrangements for obtaining and disposing of medication.

There was an effective recruitment process and all the right checks were made so that new staff were suitable to work with people. All the necessary records were kept for the running of the home and these were stored securely. The records were accurate and fit for purpose so that people received the right care and support and were kept safe.

13th October 2011 - During a routine inspection pdf icon

People took part in a range of activities throughout the week. They were involved in the community, for example by going to college and helping out with the shopping. Activities were arranged in the home, which enabled people to learn new skills and to widen their interests. People took part in a ‘music for health’ workshop during our visit. They received support to do new things, such as producing a newsletter and holding coffee mornings at the home.

People were well supported with their health and personal care needs. They received advice about keeping safe and staff took action which reduced the risk of people being harmed. People were given information in ways that they could understand. The home's complaints procedure, for example, had been produced in symbols as well as words.

House meetings were being held when people could express their views and talk about new things they would like to do. People could make choices, such as about the colour schemes for rooms and the meals they would like. People enjoyed watching films and they were very pleased with a new flat screen television which was installed in the home’s lounge on the day we visited.

 

 

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