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Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about High Cross House on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about High Cross House, you can give feedback on this service.

Inspection carried out on 13 December 2019

During an inspection looking at part of the service

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 carried out on 8 September 2017

During a routine inspection

This inspection was announced and took place on 8 September 2017.

At the last inspection in August 2015, the service was rated Good. At this inspection we found the service remained Good.

High Cross House provides accommodation and personal care for up to nine people who have a learning disability. On the day of the inspection there were eight people in residence.

The home had a registered manager who was present on the day of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe living in the home and staff knew how to protect them from the risk of potential abuse. Staff were aware of how to reduce the risk of harm to people. People were supported by sufficient numbers of staff who had been recruited safely. People were assisted by staff to take their prescribed medicines as directed by the prescriber.

People were cared for by skilled staff who were supported in their role by the registered manager. People were encouraged to make their own decisions to ensure they received a service specific to their needs. People had access to food and drinks at times that suited them. Where needed people were assisted by staff to access relevant healthcare services to promote their physical and mental health.

People were supported by staff who were kind and caring. People’s involvement in their care planning ensured they received a service that reflected their preference. People’s right to privacy and dignity was respected by staff.

People’s involvement in their care assessment ensured they received a service the way they liked and they were supported to pursue their chosen social activity. People felt confident to share any concerns they had with the registered manager or staff and could be assured their concerns would be listened to and acted on.

Systems and practices enabled people to express their views about the service provided to them. People and staff were aware of who was running the home and staff felt supported by the registered manager to carry out their role. The provider had systems in place to monitor the quality of service provided to people.

Inspection carried out on 10 August 2015

During a routine inspection

We inspected this service on 10 August 2015. This was an unannounced inspection. Our last inspection took place in June 2013 and at that time we found the home was meeting the regulations that we checked them against.

High Cross House is registered to provide accommodation and personal care for up to nine people. People who use the service have a learning disability. At the time of our inspection eight people were using the service. One of these people was away on holiday, so they were not present.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People’s safety was maintained because risks were assessed and planned for and the staff understood how to keep people safe. An educative approach was used to help people learn how to stay safe and healthy.

People’s medicines were managed safely, which meant people received the medicines they needed when they needed them. People were enabled to administer their own medicines when this was appropriate.

There were sufficient numbers of suitable staff to meet people’s needs and promote people’s safety. Staff received regular training that provided them with the knowledge and skills to meet people’s needs.

People’s health and wellbeing needs were met and people were supported to attend health appointments as required. People could access suitable amounts of food and drink that met their individual preferences.

Staff sought people’s consent before they provided care and support. However, some people who used the service were unable to make certain decisions about their care. In these circumstances the legal requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS) were being followed.

People were treated with kindness, compassion and respect and staff promoted people’s independence and right to privacy.

People were involved in the assessment and review of their care and staff supported and encouraged people to access the community and participate in activities that were important to them.

People’s feedback was sought and used to improve the care. People knew how to make a complaint and complaints were managed in accordance with the provider’s complaints policy.

There was a positive atmosphere at the home and people and staff enjoyed living and working with each other.

The registered manager and provider regularly assessed and monitored the quality of care to ensure standards were met and maintained. The registered manager understood the requirements of their registration with us.

Inspection carried out on 3 June 2013

During a routine inspection

During our inspection we spoke with seven people who used the service, two members of staff and the registered manager.

People told us they were happy with the care they received. One person told us, �I am happy living here because we all get on with each other�. Another person said, �I like all the staff here, not just one�.

People told us they were involved in the planning of their care and support. We saw that people were offered choices around what they wanted to do and their choices were respected.

We saw people getting the care they had agreed to receive by staff who promoted their independence.

People told us they chose what to eat and drink and we saw that people were supported to eat and drink a healthy and balanced diet that met their individual needs.

People were protected against the risk of abuse because staff were aware of how to identify and report concerns about people�s safety and welfare. The provider also had systems in place to ensure that staff were suitable to work with the people who used the service.

We saw that improvements had been made to the way that medicines were stored and administered, which meant people were protected against the risks associated with medicines.

Inspection carried out on 13 November 2012

During a routine inspection

We spoke with seven people using this service, two relatives and four members of staff. People using the service told us that they like living in the home. One person said, �It�s great here. I like being with the staff and my friends�. Another person said, �The staff are wonderful. We all get on well�. Relatives that we spoke with told us that they were happy with the care provided. One relative said, �I am extremely happy with the care provided for X. I couldn�t ask for better�.

During our inspection we saw that people were supported to make decisions and were involved in the planning of their care. We saw that people were supported to engage in appropriate community activities and that their independence was promoted.

We observed people receiving care and treatment by staff who had the required knowledge and skills to provide the level of care that people required. Care records were accurate, up to date and were stored securely.

We saw that there was an effective complaints system in place which people using the service and their relatives were aware of.

We identified some problems with the way that medicines were stored and administered, but improvements were made by the registered manager during our inspection.

Inspection carried out on 14 February 2012

During an inspection looking at part of the service

We carried out this inspection because we had not visited the service for some time and we did not have enough information about the service to assess compliance. We wanted to see what life was like for the people who lived in the home.

There were nine people living at High Cross House when we visited on 14 February 2012. The visit was unannounced which means the provider and the staff did not know we were coming. We were accompanied by an expert by experience who took part in the inspection and talked to the people who use the care service. They looked at what happens around the home; observed how everyone got on together and what the home felt like. The expert by experience took some notes and wrote a report about what they had found. Their comments have been included in this inspection report.

People told us, "I like living here, we all get along and share the chores between us." "We have our bedroom door keys and help to cook our own meals. We all have jobs that we do during the week and have things we like to be involved with at night such as basketball sessions."

"I go to staff if I need to, they support me and have helped me when I've needed it."

Relatives said, "We've been really happy with the support provided, our relative has confidence in the staff and so do we. If we had any concerns we wouldn't hesitate to approach the provider or manager and have done in the past."

"I've been so impressed with the support my relative has received from all of the staff."

Reports under our old system of regulation (including those from before CQC was created)