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Archived: Highbury Residential Care Home Good

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Inspection report

Date of Inspection: 15 April 2014
Date of Publication: 10 May 2014


Inspection carried out on 15 April 2014

During a routine inspection

As part of this inspection we spoke with six people who used the service, two relatives, four care workers, the cook and the registered manager. We looked at a number of records including people�s personal records, medication records, staffing records and records in relation to the management of the service.

We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask:

� Is the service safe?

� Is the service effective?

� Is the service caring?

� Is the service responsive?

� Is the service well led?

This is a summary of what we found:

Is the service safe?

People we spoke with told us they were listened to and treated with respect. Relatives were confident that the care being provided was safe and meeting people�s needs.

There was a good understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS) which meant that people�s human and legal rights would be upheld. Records showed that the service had carried out mental capacity assessments when appropriate and had involved people�s relatives in the best interest decision making process. Although nobody using the service was under a DoLS authorisation at the time of our inspection we found they had been used appropriately in the past.

As part of our inspection we looked at a number of people�s individual risk assessments We found that risk assessments recorded the potential risks to people and any action that should be taken to minimise the risk. We found that risk assessments were individualised to people, had been regularly reviewed and emphasised that people�s choices and wishes should be respected. This meant that people had been protected from risk whilst ensuring their human rights were being protected.

As part of our inspection we looked at how medication was handled. We found that the service had appropriate arrangements in place to ensure that people were protected from the risks associated with medicines and that medication was obtained, stored and administered safely.

Is the service effective?

We spoke with people who used the service and they were all satisfied with the delivery of their care. One person told us, �They truly look after you and help you with anything you need�.

Care plans were individualised to people and contained information in relation to their personal preferences and needs. People were supported to maintain good health by on-going monitoring and referral to appropriate health professionals when necessary.

Our observations showed that people�s care was delivered in a way that reflected this information. We found that staff had a good understanding of the needs of people who used the service.

Is the service caring?

People were supported by kind and attentive staff. Our observations showed that staff interacted with people in a positive way and treated them with respect and kindness. Staff showed consideration for people�s individual needs and provided care and support in a way that respected their diverse wishes and preferences.

People who used the service were very complimentary about the staff team and one person described them as �kind and compassionate�.

Is the service responsive?

Consideration had been given to supporting people to engage in meaningful activities and the service promoted people�s independence and community involvement. Care plans and records demonstrated people�s involvement in the delivery of their care and support and the service gathered people�s views in a number of ways including questionnaires and residents meetings. We saw that the service responded to people�s changing needs and wishes.

People�s consent was sought in relation to the provision of care and staff understood the procedures they should follow if people did not have capacity to make a decision at the time it needed to be made. This meant that staff were able to respond in a way that ensured people�s legal and human rights.

The service had an appropriate complaints policy and responded to concerns and complaints effectively.

Is the service well-led?

Staff were clear about their roles and responsibilities and had confidence in the registered manager. There was a consistent staff team that had been supported to receive training and development that would enable them to meet people�s needs. The manager had ensured there were enough staff on duty at all times to provide effective and appropriate care.

There was a robust quality assurance system in place that monitored the risks to people and others and ensured the service was learning and continually improving.