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Archived: New Horizon Care Home Ltd Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 July 2019

About the service:

New Horizon Care Home Ltd is a residential home and provides accommodation, personal care and support for up to three people who have a range of needs including mental health needs. There were three people living in the service at the time of the inspection.

People’s experience of using this service:

The provider had a procedure for the administration of medicines but this was not followed all the times and some of the practices identified meant there was an increased risk of medicine errors occurring which in turn increased the risk of medicines not being administered safely and as prescribed..

Risk assessment and risk management plans did not include guidance on how the staff could reduce possible risks when providing support to people.

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible, the policies and systems in the service did not support this practice.

People’s care plans did not always identify the person’s wishes as to how they wanted their care provided and how they should be supported, if required, to access the community and activities outside the care home.

The provider's systems and processes for auditing the service were not always effective and did not always provide information to enable them to identify areas which required improvement.

There were procedures for recording incidents and accidents, complaints and safeguarding concerns with actions identified to resolve issues.

The provider had a recruitment process in place. Care workers completed a range of training and had regular supervision with their line manager. Care workers felt they were supported by the management of the home.

Rating at last inspection: At the last inspection the service was rated Good. (report published 15 June 2017)

Why we inspected: The inspection was brought forward after we received information of concern relating to the care provided at the home.

Enforcement: We have identified breaches in relation to Need for Consent (Regulation 11), Safe Care and Treatment (Regulation 12) and Good Governance (Regulation 17). Please see the action we have told the provider to take at the end of this report.

Follow up:

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

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

Inspection areas

Safe

Requires improvement

Updated 3 July 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 3 July 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 3 July 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 3 July 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 3 July 2019

The service was not always well-led

Details are in our Well-Led findings below.