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Inspection Summary


Overall summary & rating

Good

Updated 14 November 2018

This focused inspection took place on 8 August 2018. It was unannounced and commenced at 5:50am.

Highview Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is registered to accommodate a maximum of 19 people who require either personal care. The building was originally a private dwelling which has been converted and extended to become a care home. There were 18 people living at the home when we inspected. The service specialises in providing care to people living with dementia.

The service had a registered manager. 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.

People spoke very highly of how caring the staff and managers were and we received only positive comments about Highview Residential Home throughout our inspection.

This inspection was carried out because we received concerns that insufficient numbers of staff were on duty at night and this meant that people were being woken early contrary to their wishes.

All of the people living at the service were living with dementia. The registered manager explained that the progression of the condition meant, for many of the people living in the home, that they no longer understood times of the day. In addition, many people chose to go to bed very early which, in conjunction with lack their lack of awareness of time, meant that they also woke very early.

Many people were up and dressed or awake in their rooms when we started our inspection. Staff told us that people had woken at times of their choosing. The registered manager was aware of this change in people's routines and was taking steps to ensure staffing levels were amended to ensure people’s needs and preferences were responded to.

People received the support they required with their medicines. However, the change in people’s night time routines had affected when staff administered some medicines. The registered manager agreed to seek advice from GP’s and ensure that care plans and records of administration contained the required information about this.

Following the inspection, the registered manager confirmed that they had taken action to address the issues discussed and to ensure that the improvements were monitored and reviewed.

Inspection areas

Safe

Good

Updated 14 November 2018

The home continued to provide safe care.

Effective

Good

Updated 19 June 2018

The service remains Good

Caring

Good

Updated 19 June 2018

The service remains Good

Responsive

Good

Updated 19 June 2018

The service remains Good

Well-led

Good

Updated 14 November 2018

The home continued to be well led.