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Inspection Summary


Overall summary & rating

Good

Updated 20 December 2017

The Horizon is a residential care home which provides care and support to a maximum of eight people with mental health needs. At the time of this inspection there were five people using the service.

This inspection took place on 15 November 2017 and was unannounced.

At the last inspection on 8 July 2015 the service was rated ‘Good’.

At this inspection we found the service remained ‘Good’.

People and relatives confirmed that they and their relative felt safe living at the Horizon and were happy with the care and support that they received. Care staff demonstrated a clear understanding of the term ‘safeguarding’ and were able to explain the steps they would take to report any concerns.

The service identified each person’s individual risks associated with their care, support and health needs. Detailed risk assessments had been devised giving detailed information on how each person’s identified risk was to be managed or mitigated against in order to keep people safe.

Appropriate systems and processes were in place to manage people’s medicines safely.

People’s needs had been assessed prior to admission to the home and continued to be assessed whilst living at the home to ensure that the service was able to appropriately meet their specific needs and requirements.

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

Care staff told us and records confirmed that they received appropriate training and support which enabled them to carry out their role safely and effectively.

Safe recruitment practices had been followed ensuring that staff employed by the service had been assessed and deemed as safe to work with vulnerable adults.

We observed people receiving care and support that was personal to their needs and requirements. This had also been clearly documented within people’s care plans.

Care plans were person centred and gave detailed information about the person, their life history and how they wished to be supported. Care staff knew people very well and were clearly aware of their needs and preferences.

People and care staff confirmed that the registered manager and deputy manager were always available and visible around the home. Appropriate management oversight systems were in place to monitor the quality of care being delivered.

Appropriate systems were in place to manage complaints.

People were supported to engage in social activities and personal hobbies where appropriate. People were also supported to develop and maintain independence.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 20 December 2017

The service remains Good.

Effective

Good

Updated 20 December 2017

The service remains Good.

Caring

Good

Updated 20 December 2017

The service remains Good.

Responsive

Good

Updated 20 December 2017

The service remains Good.

Well-led

Good

Updated 20 December 2017

The service remains Good.