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Highbury Residential Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 10 March 2020

During a routine inspection

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 carried out on 3 July 2017

During a routine inspection

We inspected this service on 3 and 6 July 2017. The first day of the inspection was unannounced.

Highbury Residential Home is a 27 bedded residential home for older people, some of whom have dementia. On the first day of our inspection there were 21 people using the service. This was the first inspection of the service since the provider changed their legal entity in October 2016.

The service had a registered manager. 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.

People were protected from the risk of fire. Action had been taken when it had been identified that fire safety precautions were not adequate to prevent harm in case of a fire. Safety checks had been carried out on the environment and the equipment used for people’s care to ensure that they were safe.

There were enough suitably trained, supported and competent staff to meet people’s needs.

Staff understood how to support people to remain safe and measures were in place to prevent avoidable harm.

People received their medicines as prescribed by their doctors. Their health needs were met and if required they were supported to access health professionals. People enjoyed their meals and had enough to eat and drink.

People were supported in line with the requirements of the Mental Capacity Act 2015.

People’s independence was promoted and people were encouraged to make choices. Staff treated people with kindness and compassion. Dignity and respect for people was promoted. People were supported to pursue activities of interest to them if they wanted to.

The care needs of people had been assessed and were regularly reviewed to ensure they continued to be met. Staff had a clear understanding of their role and how to support people who used the service.

People were given opportunities to feedback about the service they received. People and staff felt that the registered manager was approachable and action would be taken to address any concerns they may have.

Systems were in place to measure the quality of care delivered. The registered manager had a good over sight of the service.

Staff were clear on their role, the expectations of them and the aims and objectives of the service. Where necessary the provider’s disciplinary procedures had been implemented.

The registered manager was aware of their responsibility to report events that occurred within the service to CQC and external agencies.