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Archived: New Horizon Care Home Ltd Requires improvement

Reports


Inspection carried out on 7 May 2019

During a routine inspection

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 carried out on 30 May 2017

During a routine inspection

The inspection took place on 30 May 2017 and was announced. We gave the provider notice as the service was small and we wanted to be sure someone would be available to assist with the inspection.

New Horizon Care Home Ltd provides accommodation 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.

There was 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.

At the last inspection, 20 April 2015, the service was rated Good.

At this inspection, 30 May 2017, we found the service remained Good.

There were audits and checks in place to monitor the quality of the service being provided. The medicine audits needed to ensure they were regular and effective so that any issues were identified quickly and resolved. The registered manager after the inspection made amendments to the medicine audits.

Recruitment checks were carried out to make sure staff were suitable to work with people using the service. However, improvements were needed regarding the information obtained during the recruitment process. The registered manager confirmed they would address this when they next recruit new staff and that all staff files would be reviewed.

There were sufficient numbers of staff working to meet people’s needs.

The registered manager was the registered provider and regularly worked alongside staff on shift so that they could see how the staff met people's needs and to work as part of the team.

Staff received training on safeguarding adults from abuse and there were policies and procedures in place. People told us they felt safe living in the service and there had been no safeguarding concerns since the last inspection.

People’s care records included people's needs and preferences. We saw information had been reviewed on a regular basis. Staff met with people on a one to one basis throughout the month to ensure they had the support and time to talk about anything they wanted.

There were checks on a range of areas in the service, such as fire safety and health and safety to ensure people received safe care.

Feedback from people using the service, staff we spoke with and professionals was positive about the service.

Staff continued to receive support through one to one and group meetings. Training on various topics and refresher training had been arranged that were relevant to staff member's roles and responsibilities.

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

People received the medicines they needed and people knew why they were prescribed particular medicines. Staff received training on this subject and were assessed to ensure they were competent to carry out this task.

People had access to the health care services they needed and their nutritional needs were being met.

There was a complaints procedure available and people knew who to talk with if they had a concerns or complaint.

The service met the relevant fundamental standards that we assessed and provided a positive and supportive environment for people to live in.

Inspection carried out on 20 April 2015

During a routine inspection

This inspection took place on 20 April 2015. We gave the provider 48 hours’ notice of the inspection. We did this because the service is a small care home and we wanted to make sure people using the service, managers and staff were available when we visited.

This was the first inspection since the Care Quality Commission registered the service in July 2013.

New Horizon Care Home provides accommodation and personal care for up to three people with a mental illness. When we visited, three men were using the service.

One of the providers is also the 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.

Staff supported people in a caring and professional way, respecting their privacy and dignity.

Care records reflected people’s health and social care needs and staff regularly reviewed each person’s care and support. The providers, registered manager and care staff communicated effectively to make sure all staff were up to date with each person’s care and support needs.

Staff had the training they needed to care for people. Care staff were able to tell us about people’s individual needs and how they met these in the home.

Staff understood and followed the provider’s safeguarding and whistleblowing procedures. They also understood the importance of reporting any concerns about the welfare of people using the service.

People using the service, their relatives and care staff told us they knew about the provider’s complaints procedure. They were confident the provider and the registered manager would respond to any concerns they might have.

People consistently received their medicines safely and as prescribed.

We found the service to be meeting the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). DoLS provides a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them.

The providers and registered manager followed effective systems to monitor the quality of the service.