Hylton Grange

Updated 11 July 2024

Hylton Grange is a care home providing accommodation and nursing care to a maximum of 30 younger and older people, including people who may live with a brain acquired injury, learning disability or mental health needs. At the time of inspection there were 12 people living at the service. We spoke with 8 people, 4 relatives and 14 staff members. We reviewed a range of records. This included 8 people's care records and associated medicine records. We looked at 3 staff files in relation to recruitment and staff training. This is the first inspection of the service. Following information of concern received by the CQC, a comprehensive assessment was carried out on 30 July 2024. We assessed the provider against all the quality statements in the safe, effective, caring, responsive and well-led domains. We carried out our on-site inspection on 30 July 2024, off site assessment activity started on 6 August 2024 and ended on 20 August 2024. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. At this inspection we found the service was meeting the underpinning principles of Right support, right care, right culture. 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. Staff spoke very positively about working at the service and the people they cared for. People were the main focus of care delivery, and they received effective care that met their needs. There were sufficient trained staff who worked well with other professionals to ensure people's needs were met. Some improvements were required to medicine management, medicines records and governance to ensure safe and more person-centred care to people.

Updated 11 July 2024

People and staff were positive about the open culture of the service, they all said they were listened to, had opportunities to give feedback and any concerns were addressed. Most systems were in place to ensure people received safe and person-centred care. However, improvements were required to some medicine records to ensure people received prescribed medicines in line with guidance. Incidents and accidents were reported, investigated and lessons learned to reduce risk of re-occurrence. Systems were in place to ensure people were kept safe and protected from the risk of harm and abuse. People were supported to understand and manage risk. Detailed information was collected before people started to use the service and was available if they moved between services. There were enough competent staff to meet people’s needs safely. Staff received training that was relevant to their roles and responsibilities. They received support and regular supervision with opportunities for personal development. There was robust recruitment of new staff. Systems were in place to promote good infection prevention and control. People said they enjoyed the increased range of activities and opportunities to take up new interests. Information was accessible to involve people in decision making about their lives.