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High Mount Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 March 2019

About the service: 13-14 Highmount is a residential care home that was providing personal care to 7 people with learning disabilities at the time of the inspection. The home is located on a quiet cul-de-sac close to local amenities. The care home is made up of two bungalows, one built behind the other that share a communal garden.

People’s experience of using this service:

People living at the home appeared happy however we identified a number of concerns that the providers governance systems had not identified.

Records were not consistently being completed to indicate safety checks had been made and that certain policies and procedures in the home were not being followed by the staff team. We found that people's risk assessments did not highlight what was a high risk and that reviews of people's care did not always identify necessary changes.

People received their medicine on time, although not all medicines were stored securely.

We received mixed feedback on whether there were sufficient staff to meet people’s needs and complete all the tasks required.

People’s care plans were reviewed monthly however we found reviews did not always account for changes which occurred.

People’s capacity to make decisions was assessed however more clarity around specific decisions was need as well as a review of the applications made to deprive people of their liberty.

People’s privacy was not always protected.

People were supported by staff who knew how to recognise and report abuse.

People were supported by staff who had been trained. Some staff still needed to complete courses specific to people’s individual needs.

The registered manger reviewed accident and incident forms and shared lessons learnt.

People were supported to have a balanced diet.

People had access to healthcare.

People were treated well and staff understood people’s protected characteristics.

People were supported to express their views and accessible information was increasing in the home.

People were engaged in activities although people’s daily records did not always provide detail of what the activity was.

People had access to a complaints process.

People’s end of life wishes had been considered.

Staff felt supported by their manager and regular team meetings were held.

The registered manager had a continuous improvement plan and added actions to it as and when identified.

Rating at last inspection: At the last inspection dated the 23 March 2017 the home was rated as good

Why we inspected: The inspection was prompted in part by notification that someone who used the service had died. The circumstances surrounding the death are still subject to further enquiries and as a result this inspection did not examine those circumstances. However, the information shared with CQC about the death have indicated potential concerns about the management of risk in relation to health needs. This inspection examined those risks.

Enforcement: We consider the service to be in breach of Regulation 17(2)(a) Health and Social Care Act 2008(Regulated Activities) Regulations 2014. Action we told the provider to take is at the end of this report

Follow up: We will continue to monitor the service and the required improvements.

Inspection areas

Safe

Requires improvement

Updated 30 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 30 March 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 30 March 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 30 March 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 30 March 2019

The service was not always well-led

Details are in our Well-Led findings below.