Archived: New Horizon Centre Limited - Eilat

We spoke with two people about their experience of living at the home and with one other member of staff team.

We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;

' Is the service caring?

' Is the service responsive?

' Is the service safe?

' Is the service effective?

' Is the service well led?

This is a summary of what we found :-

Is the service safe?

People living at the home told us that they felt safe and well cared for. One person told us, 'This is much nicer than the last place and feels more like a family home.'

Risk assessments in relation to how people's care was delivered had been carried out to make sure that staff could support people safely.

There were systems in place to monitor incidents, accidents and untoward events with evidence that action was taken where risk of harm could be minimised. We found that there was also a system in place to audit complaints to see if lessons or improvements could be made.

CQC monitors the operation of the Deprivation of Liberty Safeguards which apply to care homes. One application had been submitted and the required forms and records were in place.

Records were up to date and accurate.

Is the service effective?

The aim of the service was to provide an assessment and rehabilitative environment for people with acquired brain injury. We saw that the service worked with the involvement of people living at the home and external health professionals to meet people's rehabilitation goals.

People we spoke with were very positive about the way the care and support they received from the staff. One person told us about how they had worked with the staff setting goals towards moving on towards greater independence.

From looking at people's care records we saw evidence of people's involvement in setting goals and reviewing progress.

People's ability to make decisions had been assessed and their consent agreed where they could make decisions relating to their care.

Is the service caring?

People we spoke with at this inspection were very positive about the care and support they received at the home. One person told us, 'The staff are like friends to me, they are so nice an supportive.'

During the inspection we observed interactions between staff and people living at the home. We saw that staff were very respectful and supportive towards people and there were good relationships between staff and residents of the home.

Is the service responsive?

People had care plans in place and received care and support that met their assessed needs.

Staff members we spoke with were very knowledgeable about the people living at the home and how they wished to be supported.

We saw within care plans that action was taken to meet people's health needs where appropriate.

Is the service well-led?

Eilat provides a complex service involving staff in differing roles and responsibilities. There was a clear structure and accountability for each person's role in the service.

There were well developed systems for monitoring the quality of service provided to people. Accidents and incidents were being monitored to look for any trends. Care plans were up to date and subject to monthly review. Medication was audited daily and monthly. Regional managers visited the service each month and an annual audit of the service was carried out to monitor outcomes for people living at the home.

We found that people's needs had been thoroughly assessed and recorded. Detailed care plans had been put in place to inform staff on how to support people in working towards their rehabilitation goals. Care plans were up to date and reflected people's needs.

There were robust procedures in place to manage medicines safely in the home.

There were robust recruitment procedures in place; however, not all of the checks required under regulations were evident in a sample of staff recruitment files we looked at.

We found there were effective systems in place to monitor the quality of service provided to people and to respond to their views.

During the inspection to the home we were able to observe people. We saw that people were involved in making decisions about their day and they received one-to-one support to access their local community. We observed a person being supported to make a shopping list of groceries and people being supported to visit local shops to buy items they required using public transport.

Staff addressed people by their preferred name and they were observed to receive support from care workers of the same gender where possible.

People who lived there were able to access all facilities in the home and spend time in their bedrooms or in communal areas as they wished. We saw that arrangements were in place to promote person-centred care and ensure that people led ordinary lives in the home and community.