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High View Care Services Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 22 November 2018

This unannounced inspection of High View Care Services Limited took place on 20 September 2018. High View Care Services is a ‘care home’ for adults with brain injuries, mental health and substance misuse needs. People in care homes receive accommodation and nursing or personal care as 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 12 people in one adapted building and there were 12 people using the service when we visited.

The last inspection of the service took place on 19 and 21 July 2017 where we rated the service requires improvement as there was a breach of regulation relating to the management of medicines. We also found that the quality assurance systems in place were not effective. Following the inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions safe, effective, caring and well-led to at least good. The provider sent us an action plan on how they would improve.

At this inspection, we found that the service had made the required improvements and complied with our regulations. We have rated the service good.

There was a registered manager 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.

Medicines were managed and administered in a safe way. Medicine administration records were completed fully by staff. Regular audits took place to identify any gaps or errors and these were addressed.

Risk assessments were completed and management plans put in place to reduce the likelihood of harm to people. Incidents and accidents were reviewed and lessons were learned from them. The environment was safe; and health and safety checks were carried out periodically. Staff followed infection control procedures. There were suitable facilities available for people to use.

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 support to people with their care and support needs in a timely manner. Staff employed at the service had undergone thorough checks to ensure they were fit to work with people. Staff were trained, supervised and supported to be effective in their roles.

People’s needs were assessed in line with best practice guidelines. People were supported with their nutritional needs. People had access to a range of health and social care professionals to maintain their health and well-being. The service ensured people’s care and support was coordinated effectively.

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 treated people with consideration and respected their dignity. People were supported to learn new skills and to maintain their independence. Staff supported people to express their views and people were involved in planning their care and support. Care records included people’s end of life wishes.

People received care and support tailored to meet their individual needs. Staff understood people’s needs and how to support them. People were encouraged to participate in activities they enjoyed. People were supported to maintain relationships they choose to. Staff supported people to maintain their religious and cultural requirements. Regular reviews took place to ensure support delivered to people c

Inspection areas

Safe

Good

Updated 22 November 2018

The service was safe. Risks to people were assessed and actions taken to mitigate harm to people. Staff understood how to recognise abuse and how to report concerns following the organisation’s procedures.

There were enough staff available to support people. Thorough checks were conducted on staff before they started working with people.

People’s medicines were managed and administered safely. Staff followed procedures to control the risk of infection. Health and safety systems were up to date. The registered manager reviewed incidents and shared lessons learned from them with staff.

Effective

Good

Updated 22 November 2018

The service was effective. People’s needs were assessed following recommended guidelines. Staff were trained, supervised and supported in their roles.

People consented to their care and support. People’s rights were protected in line with the Mental Capacity Act 2005 (MCA).

People had access to food and drink and staff supported people with their nutritional needs.

People’s care and support was well coordinated and people had access healthcare services to maintain their health. There were suitable facilities for people to use.

Caring

Good

Updated 22 November 2018

The service was caring. Staff treated people with dignity and respect. Staff supported people with their emotional needs. People were involved in planning their care and support and their wishes were respected.

People were encouraged to learn new skills and to be as independent as possible.

Responsive

Good

Updated 22 November 2018

The service was responsive. People’s care and support was tailored to their individual needs and staff supported them to achieve their goals.

People took part in recreational and therapeutic activities. People were supported to maintain relationships which mattered to them. Equality and diversity was promoted across the service. Care plans recorded people’s end of life wishes.

The provider made information accessible to people in various formats. People knew how to complain if they were unhappy the service.

Well-led

Good

Updated 22 November 2018

The service was well led. There was a registered manager in place. People and staff told us that the registered manager was approachable and supportive.

People were given the opportunity through meetings to feedback and make suggestions about the service and these were acted on.

There were effective systems in place to monitor and assess the quality of service provided.

The service worked in partnership with other organisations to meet people’s needs.

The registered manager complied with the requirements of their registration.