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The Highcroft Care Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 13 December 2018

The inspection visit at The Highcroft was undertaken on 14 November 2018 and was unannounced.

The Highcroft Care Home is situated in a residential area of Blackpool. Accommodation is provided in mainly single rooms. There are communal lounge areas, dining room and garden areas to the rear of the premises. Parking facilities are at the front of the home. The home is registered to provide care for up to 31 people. At the time of the inspection visit there were 28 people who lived at the home.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The Highcroft is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

At the last inspection in November 2017 we rated the service as ‘Requires Improvement’. This was because breaches of legal requirements were found. These related to medication issues. Furthermore, the management team failed to properly assess the quality assurance of the service provided. We made a recommendation to improve quality assurance systems.

During this inspection, we found the provider had made improvements to ensure they met legal requirements in recording and administering medication. In addition, they had addressed the recommendations from the previous inspection. There now were systems in place to undertake quality audits in a timely manner to ensure the service continued to be monitored and improvements made where required.

We observed staff administered medication with a skilled and secure approach, which the registered manager strengthened through training, a new medication system and regular audits. They now had good oversight of relevant procedures through daily and weekly auditing to ensure people who lived at the home remained safe.

The registered manager had now completed a range of quality audits to ensure a safe environment and monitor the service they provided. These for example included, medication, the building, care planning and DoLS processes. Documentation highlighted examples of where the registered manager took action to address identified issues.

Care records included an assessment of the level of risk and actions to guide staff to manage people’s safety. The registered manager retained an accident book and analysed patterns to assess control measures reduced the risk of incidents.

We saw staff supported people with their meals sensitively and respected their privacy. Staff checked they had enough to eat and comments were positive in relation to quality of meals. One person who lived at the home said, “We are lucky we have cooks who are really good.”

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 had been recruited safely, appropriately trained and supported. They had skills and experience required to support people with their care and social needs.

Care planning followed a person-centred approach and people told us they were involved in this process.

Comments we received about the attitude and caring nature of staff were positive and included, “Lovely people they are so kind and helpful.” Another person said, “Everybody has been so good with me. They all are a very caring bunch.”

People who lived at the home told us they enjoyed a variety of activities and regular outside entertainers which were organised for their enjoyment. One person said, “We had a singer recently, absolutely

Inspection areas

Safe

Good

Updated 13 December 2018

We found action had been taken to improve the safety of the home.

The registered manager now had good systems in place for administration, storing, recording and monitoring people's medicines.

The registered manager ensured staff had updated moving and handling training to ensure people were safe.

The registered manager had procedures in place to protect people from abuse and unsafe care.

Staffing levels were sufficient with an appropriate skill mix to meet the needs of people who lived at the home.

Recruitment procedures the service had in place were safe.

Effective

Good

Updated 13 December 2018

The service was effective.

People who lived at the home were consulted and gave their consent to care and treatment the service provided.

People were supported by staff who were sufficiently skilled and experienced to support them to have a good quality of life.

People received a choice of suitable and nutritious meals and drinks in sufficient quantities to meet their needs.

The registered manager was aware of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguard and had knowledge of the process to follow

Caring

Good

Updated 13 December 2018

The service was caring.

People were able to make decisions for themselves and be involved in planning their own care.

Staff undertaking their daily duties were observed respecting people�s privacy and dignity.

People who lived at The Highcroft told us staff were patient, sensitive and were available to spend time with them.

Responsive

Good

Updated 13 December 2018

The service was responsive.

People participated in a range of activities which the service provided.

People�s care plans had been developed to identify what support they required and how they would like this to be provided.

People told us they knew their comments and complaints would be listened to and resolved.

Well-led

Good

Updated 13 December 2018

We found action had been taken to improve the leadership of the home.

A range of audits was now in place to monitor the health, safety and welfare of people who lived at the home.

Systems and procedures were now in place and checked thoroughly to monitor and assess the quality of service people received.

The registered manager had clear lines of responsibility and accountability.

Staff understood their role and were committed to providing a good standard of support for people in their care.