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Archived: Highfield Care Home Inadequate

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 19 February 2020

About the service

Highfield Care Home is a care home set across two floors and is registered to provide accommodation and personal care for up 54 older people some of whom are living with dementia. At the time of our inspection 36 people were living at Highfield Care Home.

People’s experience of using this service and what we found

People were not always protected from the risk of harm. When people sustained unexplained bruises or skin tears these were not investigated or reported to external safeguarding authorities.

Lessons following incidents, accidents or complaints were not learnt. Information was not shared with staff, so the service had not improved the care that staff provided to people.

There were not always enough staff effectively deployed to meet people’s needs in a timely way. Staff had not received training to understand the needs of the people they supported, and their competency and skills were not assessed.

Staff did not always follow guidance from health and social care professionals when supporting people at risk of choking or at risk of developing pressure ulcers. People’s dignity was not always promoted.

People who developed pressure ulcers or who’s health needs changed were not always referred to health care professionals in a timely way. Staff were not always responsive to people’s changing needs to ensure that the care and support they provided to people was personalised.

The registered manager had not investigated or responded to complaints raised. The governance systems in place were not used effectively to identify and improve the service.

The provider failed to ensure that people received a good quality service in a personalised and safe way. People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People’s medicines were managed safely. People had been provided with activities and opportunities to pursue their hobbies and interests.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update: The last rating for this service was requires improvement (published 23 November 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found that the provider was still in breach of regulations. This service has been rated requires improvement for the last four consecutive inspections.


We have identified breaches in relation to safe care and treatment, staffing, complaints, dignity and governance systems at this inspection.

For requirement actions of enforcement which we are able to publish at the time of the report being published:

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Special Measures:

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will u

Inspection areas



Updated 19 February 2020

The service was not safe.

Details are in our safe findings below.


Requires improvement

Updated 19 February 2020

The service was not always effective.

Details are in our effective findings below.


Requires improvement

Updated 19 February 2020

The service was not always caring.

Details are in our caring findings below.


Requires improvement

Updated 19 February 2020

The service was not always responsive.

Details are in our responsive findings below.



Updated 19 February 2020

The service was not well-led.

Details are in our well-Led findings below.