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Highfield Care Home Requires improvement

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Inspection report

Date of Inspection: 1, 2 April 2014
Date of Publication: 1 May 2014
Inspection Report published 01 May 2014 PDF | 103.91 KB

Overview

Inspection carried out on 1, 2 April 2014

During a routine inspection

During our inspection of Highfield Care Home on 01 and 02 April 2014 we set out to answer five questions. These were whether the service is caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, discussions with people using the service, their relatives, and the staff supporting them. We also spent time looking at records.

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

There was no effective system in place to make sure that the manager and staff learnt from events such as accidents, incidents and investigations. This increased the risk of harm to people and failed to ensure that lessons were learnt from mistakes. We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to learning from incidents and events that affect people’s safety.

We found that people's records were not an accurate reflection of the care they were being provided with and did not accurately record the progress of treatments given. Records were also in places illegible and difficult to read. This meant people were at risk of receiving inappropriate or unsafe care because an accurate record had not been maintained. We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to maintaining an accurate record for people who used the service.

Is the service effective?

People’s health and care needs were assessed with them, but they were not always involved in writing their care plans. Some people were not aware of what was in their care plans. Some of the care plans had not been reviewed regularly. Care plans were therefore not able to support staff consistently to meet people’s needs.

We looked at the support and professional development provided to the manager and staff. We found that the manager and staff had not received an appraisal of their development for over a year. In some circumstances this was in excess of five years. We found that staff had not all received training relevant to their role. We also noted that the manager had not received training in areas such as incident management and supporting staff. This put people at risk of being supported by staff without the appropriate skills.

We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to assessing people’s needs and involving people in planning their care.

Is the service caring?

People were supported by kind and attentive care and nursing staff. We saw that staff demonstrated patience and gave encouragement when supporting people. People were treated by staff in a dignified manner.

People’s preferences, interests, and diverse needs had not always been recorded. Because of this care and support could not always be provided in accordance with people’s wishes.

We asked the provider to tell us what they are going to do to meet the requirements of the law in relation to involving people in planning their care.

Is the service responsive?

We found that the service did not always respond to issues identified through their own monitoring systems. We found that care record audits identified the need for updating records with important information, however this had not been done.

People using the service, their relatives, friends and other professionals involved with the service completed an annual satisfaction survey.

Is the service well led?

At the time of our inspection the manager had not applied to the Care Quality Commission for registration to manage Highfield Care Home. The manager has been in post for one year. We have informed the provider that we may take action against them unless they tell us how they are going to meet the requirements of the law in relation to having a registered manager in post.

The service had conducted a range of audits to ensure people received a safe level of quality care. However where these audits had identified shortfalls and the manager had not acted to remedy these.

We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to quality assurance, and the improvements they will make.