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Inspection Summary


Overall summary & rating

Good

Updated 15 June 2018

Horizons is a ‘care home’. 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.

This unannounced comprehensive inspection took place on 2 and 3 May 2018.

Horizons are registered to provide accommodation and personal care for up to 13 people. At the time of the inspection nine people were living at the home.

The home had 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.’

People told us they felt safe with the staff and living at the home. There were clear systems in place to safeguard people from the risk of harm. Staff had completed training in safeguarding people and spoke knowledgeably about how to raise concerns if they suspected people were being abused. The registered manager had raised safeguarding concerns to the relevant authorities when necessary.

People’s needs were assessed and planned for. People were provided with care and support that took into account their personal wishes and preferences. People had good access to healthcare and staff referred people appropriately to health care professionals. Health professionals supplied positive written feedback on the service people received at horizons.

The provider had an established system for ensuring people were recruited to work in the service safely. Recruitment systems were robust and staff were trained to ensure they could care and support people safely and consistently. There were enough appropriately trained staff available on each shift to ensure people were cared for safely. Staff received appropriate training which was refreshed at regular intervals. Staff told us they felt well supported by the management team.

People’s medicines were managed safely and administered as prescribed.

People’s rights were protected because staff acted in accordance with the Mental Capacity Act 2005 (MCA). Staff ensured decisions were made in people’s best interests and followed any conditions placed on their Deprivation of Liberty Safeguards.

People told us they enjoyed living at Horizons and said the staff were friendly, caring and treated them with kindness and patience. Relatives were very happy with the care and service provided by the home. Staff knew people very well and cared for them in the way they preferred. Staff knew what was important to people and supported them as individuals.

People were supported to take part in a range of activities and hobbies they enjoyed. People said they really enjoyed taking part in their voluntary work and attending their college courses. People were supported to remain as independent as possible to ensure their health and well being was maintained or improved.

People were provided with a choice of healthy home cooked food and drink that ensured their nutritional needs were met. People told us they enjoyed the food and they could choose what they wanted to eat if they wanted something different to the menu. People enjoyed observing the staff preparing and cooking the meals and taking in the atmosphere of the kitchen.

People told us they knew how to make a complaint and said staff listened to them and took action if they needed to raise concerns or queries. Records showed complaints were investigated in accordance with the provider’s complaint policy.

People, relatives and staff told us they felt the service was well led, with a clear management structure in place. There were governance systems in place to assess and improve the quality and safety of the service and to ensure people were supported in a safe, effective and caring way.

Inspection areas

Safe

Good

Updated 15 June 2018

The service was safe.

People were supported by staff who understood how to protect people from harm and knew what action to take in the event of a concern.

Risks to people had been identified. Measures were in place to manage risks whilst still supporting people to remain as independent as possible.

There were systems in place to safely store, manage and administer medicines.

There were enough staff on duty to provide safe care and support for people.

Effective

Good

Updated 15 June 2018

The Service was effective.

People were supported by staff who were themselves supported through regular supervision and training.

People were supported by staff who acted in accordance with The Mental Capacity Act 2005. Staff promoted people�s choice and acted on the decisions people made.

People were offered a variety of choice of home cooked food and drink. People who had specialist dietary needs had these met.

People accessed the services of healthcare professionals as appropriate.

Caring

Good

Updated 15 June 2018

The service was caring.

Care and support was provided with kindness and compassion by staff, who treated people with respect and dignity.

Staff understood how to provide care in a dignified manner and respected people�s right to privacy.

Staff were aware of people�s preferences and took an interest in people and their families in order to provide person centred care.

Responsive

Good

Updated 15 June 2018

The service was responsive.

People had personalised plans which took account of their likes, dislikes and preferences.

Staff were responsive to people�s changing needs.

People�s views were sought and there was a clear complaints process in place.

Well-led

Good

Updated 15 June 2018

The service was well led.

Observations and feedback from people and staff showed us the service had a supportive, honest, open culture.

People felt listened to and involved in the development of the service.

There were quality assurance systems in place to ensure continuous improvement.