Background to this inspection
Updated
23 September 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 28 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
23 September 2020
This unannounced inspection of 161 High View Care Service took place on 23 May 2018. 161 High View Care Service is a ‘care home’ for adults with substance misuse and mental health needs. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service accommodates five people in one adapted building and five people were using the service when we visited.
This was the first rating inspection of 161 High View Care Service since they registered. We have rated the service Good overall.
There were two registered managers in post. 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.
Risks to people were managed in a way that promoted their safety. Risk assessments were in place and detailed measures to reduce harm to people. Staff were trained in safeguarding people from abuse and demonstrated that they understood the signs of abuse and how to report any concerns in line with the provider’s procedures. There were enough staff to provide safe and effective support to people. Staff employed at the service had undergone thorough recruitment checks to ensure they were fit to work with people. Medicines were administered and managed safely and in accordance with the provider’s procedures. Incidents and accidents were reviewed and lessons were learnt from them. Health and safety systems were in place and up to date. The service was clean and well maintained. Staff followed food hygiene and infection control procedures.
Staff were trained, supervised and had the skills and knowledge to meet people’s needs. People’s needs were assessed with involvement of relevant professionals where required to ensure their needs were met. Staff understood how to support people with their needs. People were supported to have a balanced diet. Staff worked effectively with health and social care professionals to attain positive outcomes for people. People received the support they needed to access healthcare services to maintain good health. People’s care and support were well coordinated. There were suitable facilities available for people to use.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood their responsibility under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
Staff understood people’s needs and treated them with respect, kindness and dignity. Staff supported people to express their views and people were involved in planning their care and support. Care plans noted people’s Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) status and staff knew about them.
The service tailored the care and support they delivered to people to achieve positive outcomes for them. Each person had a support plan which set out how their needs would be met. People were supported to improve their daily living skills and to become independent as much as possible. People were encouraged to participate in activities they enjoyed. People were supported to maintain relationships they chose. Regular reviews took place to ensure the support delivered to people continued to meet their needs. People knew how to make a complaint if they were unhappy with the service. The provider investigated complaints in line with their procedure.
The registered managers understood their responsibilities and complied with the requirements of their registrations. Staff received the support, direction and leadership they needed to perform their roles efficiently. Various audits and checks took place to monitor and assess the quality of service provided. People’s views were sought through annual surveys and key worker sessions to improve the quality of the service. The service worked jointly with internal and external professionals and services to develop and improve the service.