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Highbury Residential Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 May 2020

About the service

Highbury Residential Home is a residential care home providing personal and nursing care to 16 people aged 65 and over at the time of the inspection.

Highbury Residential Home accommodates up to 27 people in one adapted building. People had their own bedroom with en-suite toilet and sink.

People’s experience of using this service and what we found

People were not always kept safe and did not always receive medicines in line with best practice and protocol guidance. Despite concerns with medicine management people and relatives told us they felt safe.

Staff were not trained in the Mental Capacity Act (MCA). People’s movements were restricted by staff and were placing people under levels of restriction that were unnecessary and disproportionate.

Assessment were in place to identify people’s risks, but they were not consistently person-centred.

The culture within the service was not always caring and people’s needs were not always met. However, people and their relatives said staff were very caring.

Staff knew people well, but care plans were not always person-centred. End of life care was provided by staff who were passionate about ensuring people had a dignified and pain free death, as well as caring for and supporting relatives.

The introduction of a new manager had improved staff morale. However, governance systems and processes failed to identify and address concerns. Opportunities for learning were missed.

People were supported to have choice and control of their lives, but staff did not always support them in the least restrictive way possible and in their best interests. Staff had not always received training to ensure people were supported in this way. Policies and systems in the service did not always support this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 8 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see all sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Inspection areas

Safe

Requires improvement

Updated 8 May 2020

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Effective

Requires improvement

Updated 8 May 2020

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Caring

Requires improvement

Updated 8 May 2020

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Responsive

Requires improvement

Updated 8 May 2020

.

Well-led

Requires improvement

Updated 8 May 2020

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