Samuel Hobson House

Updated 5 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Samuel Hobson House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Samuel Hobson House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority and professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 13 people who lived at the home and 8 relatives and friends. We spoke with 11 members of staff including the registered manager, 2 senior care workers, 6 care workers, 1 chef and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with 1 visiting healthcare professional.

We reviewed 5 people's care plans, medicines records, accident and incident records and safeguarding records. We also reviewed records relating to training, recruitment, quality assurance and feedback and complaints. Following the site visits, we gained feedback from 1 health and social care professional. We also reviewed the training matrix sent to us by the registered manager.

Updated 5 December 2023

About the service

Samuel Hobson House is a residential care home providing personal care to up to 39 people. The service provides support to adults with a range of needs including people who have dementia. At the time of our inspection there were 36 people using the service.

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

Rating at last inspection

This service was registered with us on 10 January 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.