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Inspection Summary


Overall summary & rating

Good

Updated 30 January 2020

About the service

High Cross House is a residential care home registered to provide accommodation and personal care to nine younger people who have a learning disability. On the day of the inspection the home was fully occupied.

High Cross House consists of nine single occupancy bedrooms. The two-storey property consisted of a lounge, dining room, kitchen and bathrooms. Access to the first floor was via stairs. People had access to a garden at the rear of the property.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People told us they felt safe living at the home. Risk assessments were in place to mitigate identified potential risks to people. People were supported by sufficient numbers of staff who had been recruited safely. Hygiene standards were maintained to ensure people’s health and wellbeing. People received their medicines as directed by the prescriber. The registered manager was aware of their responsibility of learning when things went wrong to avoid a reoccurrence.

People were aware of who was running the home. Systems were in place to obtain people’s views with regards to how the home should be managed. The provider engaged with external professionals to ensure people were provided with the appropriate support. The culture of the home was warm and welcoming, promoting equality and diversity. The provider’s governance was effective to ensure people receive the appropriate support when needed. The registered manager demonstrated a good understanding of the duty of candour.

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

Rating at last inspection

The last rating for this service was Good published (September 2017)

Why we inspected

We received concerns in relation to the management of medicines and people’s care needs. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service remains Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for High Cross House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 30 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 30 January 2020

Caring

Good

Updated 30 January 2020

Responsive

Good

Updated 30 January 2020

Well-led

Good

Updated 30 January 2020

The service was well-led.

Details are in our well-led findings below.