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Inspection Summary


Overall summary & rating

Good

Updated 15 June 2017

The inspection took place on 30 May 2017 and was announced. We gave the provider notice as the service was small and we wanted to be sure someone would be available to assist with the inspection.

New Horizon Care Home Ltd provides accommodation and support for up to three people who have a range of needs including mental health needs. There were three people living in the service at the time of the inspection.

There was a registered manager in post. 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 2008 and associated Regulations about how the service is run.

At the last inspection, 20 April 2015, the service was rated Good.

At this inspection, 30 May 2017, we found the service remained Good.

There were audits and checks in place to monitor the quality of the service being provided. The medicine audits needed to ensure they were regular and effective so that any issues were identified quickly and resolved. The registered manager after the inspection made amendments to the medicine audits.

Recruitment checks were carried out to make sure staff were suitable to work with people using the service. However, improvements were needed regarding the information obtained during the recruitment process. The registered manager confirmed they would address this when they next recruit new staff and that all staff files would be reviewed.

There were sufficient numbers of staff working to meet people’s needs.

The registered manager was the registered provider and regularly worked alongside staff on shift so that they could see how the staff met people's needs and to work as part of the team.

Staff received training on safeguarding adults from abuse and there were policies and procedures in place. People told us they felt safe living in the service and there had been no safeguarding concerns since the last inspection.

People’s care records included people's needs and preferences. We saw information had been reviewed on a regular basis. Staff met with people on a one to one basis throughout the month to ensure they had the support and time to talk about anything they wanted.

There were checks on a range of areas in the service, such as fire safety and health and safety to ensure people received safe care.

Feedback from people using the service, staff we spoke with and professionals was positive about the service.

Staff continued to receive support through one to one and group meetings. Training on various topics and refresher training had been arranged that were relevant to staff member's roles and responsibilities.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the systems in the service supported this practice.

People received the medicines they needed and people knew why they were prescribed particular medicines. Staff received training on this subject and were assessed to ensure they were competent to carry out this task.

People had access to the health care services they needed and their nutritional needs were being met.

There was a complaints procedure available and people knew who to talk with if they had a concerns or complaint.

The service met the relevant fundamental standards that we assessed and provided a positive and supportive environment for people to live in.

Inspection areas

Safe

Good

Updated 15 June 2017

The service remains Safe.

Risks to people using the service and/or others had been identified.

There were enough staff to meet people’s support needs.

The provider carried out pre-employment checks to make sure new staff were suitable to work with people using the service. However, improvements were needed regarding the information obtained during the recruitment process. The registered manager confirmed staff files would be checked to ensure they contained all required information.

People received the medicines they needed safely.

Effective

Good

Updated 15 June 2017

The service remains Effective.

Staff obtained people’s consent before they provided care and support. People had the capacity to make choices about their daily lives.

Staff had access to the training and support they needed.

People were involved in planning and reviewing their care and staff encouraged them to maintain and develop their independence.

Staff supported people to access to the health care services they needed.

People were helped to have nutritious and well balanced meals.

Caring

Good

Updated 15 June 2017

The service remains Caring.

People told us they were well cared for in the service.

Staff treated people with kindness and patience.

Staff offered people choices about aspects of their daily lives.

Responsive

Good

Updated 15 June 2017

The service remains Responsive.

People using the service were involved in the development of their care plan and other records, including risk assessments.

Staff understood the care and support needs of people using the service.

The provider had systems in place to gather the views of people using the service and others.

The provider had a policy and procedures for people using the service and others about how to make a complaint.

Well-led

Good

Updated 15 June 2017

The service remains Well led.

Staff found the provider approachable and supportive.

The registered manager and staff carried out a range of checks and audits to monitor the service. Following on from the inspection the provider reviewed the frequency of the medicine audits to ensure they were regular, effective and identified any issues swiftly.