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High View Care Services Limited Good

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Inspection report

Date of Inspection: 12 September 2013
Date of Publication: 15 October 2013
Inspection Report published 15 October 2013 PDF | 78.61 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 12 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Before people began using the service, the provider had carried out a health and social care needs assessment to ensure the home was suitable for the person. People’s records we looked at showed that the assessment covered areas such as mobility, mood and behaviour, continence, communication, medication and religion. We found that prior to admission; people were given opportunities to visit the home to assess whether the home could meet their needs. The five care plans we looked at had been developed using information obtained during the assessment process to ensure individual needs were met.

People had completed an assessment relating to their behaviours and a recovery plan was in place, for example, for eating disorder or substance misuse. We saw that people had set goals relevant to their individual needs. People told us that staff supported and assisted them to make progress towards achieving their goals, for example, support with acquiring volunteer work in the community and staff confirmed they were aware of the support to provide. All the care plans we looked at had been signed by people to demonstrate they were in agreement with the care and support that had been planned for them. Care plans were reviewed annually and updated monthly by the individual’s key worker to ensure they reflected any changes and the person’s needs were met.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We found that each person had relevant risk assessments for areas such as self-neglect, absconding, substance misuse, mobility, diabetes and medication. We saw that action plans had been developed to mitigate these risks. For example, one person diagnosed with diabetes had a diabetic care plan in place which provided staff with guidance of the action to take such as to support the individual to eat healthy meals, take insulin boosters when required and to provide support with attending a diabetic clinic to mitigate any potential risks. Another person with mobility needs was supported by care staff to maintain a clean and tidy room free from clutter to mitigate the risk of them falling.

People who used the service had a health action plan in place. People we spoke with told us that staff supported them to attend health appointments and records we looked at confirmed this. Other professionals such as community nurses, behaviour support advisor, social workers, general practitioners (GP), opticians and dentists were involved in peoples care where required. This ensured that the care delivered met the individual’s needs.

There were arrangements in place to deal with foreseeable emergencies. The provider had a business continuity plan in place which provided staff guidance on the actions to take in the event of any emergencies such as low staffing levels or extreme weather in order to maintain people’s safety. Staff we spoke with were aware of actions to take in the event of an emergency and they told us they would contact the emergency services where required. Staff training records we looked at showed that all staff had completed first aid training which provided them with the skills to support people in the event of an emergency.