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Howgate House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 December 2019

About the service

Howgate House is a residential care home providing personal and nursing care. The service can accommodate up to 63 people and most people are aged 65 and over. At the time of our inspection 46 people were living at the home.

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

Most people, relatives and staff told us the service had improved since the last inspection. They said further improvements were needed but felt confident the service was moving the right direction under the leadership of the new manager.

People told us the service was safe and there were generally enough staff to meet their needs. A small number of people had concerns about the skills and knowledge of some of the staff team. The manager was addressing this through training and carrying out a review of working patterns.

People told us, and we observed staff were kind and caring. People’s privacy and dignity were respected, and people were supported to be as independent as possible.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Improvements had been made to the way people were supported to share their views of the service. People were given feedback on the actions taken in response to their comments.

Improvements had been made to the way risks to people’s safety and welfare were identified and managed. The home was clean, and equipment and installations were maintained. Some refurbishment had taken place, and more was planned.

The way people’s medicines were managed had improved.

Feedback about the food was varied; some people said there was room for improvement. This was being dealt with and people were being consulted about the menus. Improvements had been made to the support given to people at risk of poor nutrition and hydration. People’s oral health was considered and where necessary people were referred for dental treatment.

People’s needs were assessed, and their care records had improved. Further improvements were being made in this area to ensure staff had clear information about people’s current needs.

Improvements had been made to the systems and processes in place to monitor the safety and quality of the service. The manager was proactive in developing links with external professionals and local community groups for the benefit of people who used the service.

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

Rating at last inspection (and update)

The last rating for this service was inadequate (published 23 May 2019). There were multiple breaches of regulations and the service was placed in Special Measures. During this inspection the provider demonstrated improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, the service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 6 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 December 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 6 December 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 December 2019

The service was not always well-led.

Details are in our well-led findings below.