Archived: High Trees Nursing Home

At this inspection, which took place over two days, we found that the home had complied with seven compliance actions made at our inspection in September 2012.

People were treated with respect and dignity and were more involved in how their care was assessed and planned. Relatives or representatives were involved where people did not have mental capacity.

People's care and welfare needs were being met.

Medication was being administered, stored and disposed of appropriately.

The home was clean and there were infection control systems in place to maintain hygiene standards.

Robust recruitment procedures were being followed and the required checks were made to make sure that suitable people worked at the home.

Records were up to date and accurate. New storage facilities had been purchased so that records were more accessible to staff.

Care records did not reflect people's choices and involvement in decisions about themselves. We saw good examples of promoting people's independence but also examples of poor practice where staff failed to promote people's dignity.

We found that there were some gaps in the assessment and delivery of people's care which meant that people did not always received consistent, individualised care.

Some areas of the home had offensive odours and had not been properly cleaned. Policies and procedures for infection control had not been updated in accordance with current guidance.

We found that staff recruitment procedures had not been properly followed. This meant that not all of the required checks on people to ensure their suitability to work with vulnerable people had been carried out.

Suitable reports were being made regarding the death of any person using the service at High Trees Nursing Home. However, reports of other types of accidents and incidents were not being made.