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Inspection Summary


Overall summary & rating

Good

Updated 9 May 2019

About the service:

Highcroft House is a residential care home that was providing personal and nursing care for up to nine people who had learning disabilities and physical disabilities or long-term conditions. At the time of the inspection there were seven people living in the home.

The care service had not originally been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. The home had been registered before such guidance was produced. The guidance focussed on values including choice, promotion of independence and inclusion so that people with learning disabilities and autism using a service can live as ordinary a life as any citizen. However, it was clear that people living in Highcroft House were given such choices. The home was located in a residential suburb where people’s independence and participation within the local community continued to be encouraged and enabled.

Rating at last inspection:

The service was rated Good at the last inspection; the report was published in July 2016

Why we inspected:

This was a planned inspection based on the previous overall rating.

People’s experience of using this service:

People’s medicines were managed safely and in line with best practice guidelines. People received their medicines safely as they were prescribed. Improvements had been made since the last inspection to ensure that procedures to manage stocks of medication and return medicines that was not wanted were robust. Other detailed audits were also being carried out to check on the quality of the service and to maintain compliance with regulations.

Systems were in place to ensure that people were protected by the prevention and control of infection. Accidents, incidents and any near misses were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.

People continued to receive care that protected them to keep safe and staff understood how to protect people from abuse and harm. Risks to people were assessed and detailed guidance about how to manage these was available for staff to refer to and follow. All staff were clear about action they would take in the event of any emerging concerns about how people were being cared for. Recruitment of staff was carried out to ensure that adequate numbers of suitable staff were available to support people.

People continued to receive effective support from staff who had sufficient level of skills and knowledge to meet their specific needs. New staff received comprehensive induction training before they started to support people. People were supported in line with their abilities and known preferences. Staff involved people as much as possible to make decisions and utilised the shared information that was available to ensure that they fully explored what the person liked to do before commencing any activity.

People continued to be cared for by staff who displayed kindness and compassion in ways that upheld their privacy and dignity. People’s diverse needs were well known, always recognised and support and access to activities was supported and enabled by staff.

The care home continued to be well-led. Staff were positive about the leadership and skills of the registered manager. The registered manager had a good knowledge of the support needs and communication methods of people using the service. Required information was available in the home and made available when requested in line with the regulations.

Follow up:

We will continue to monitor the home through the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 9 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 9 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 9 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 9 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 9 May 2019

The service was well-led

Details are in our Well-Led findings below.