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CQC report explained · a residential care home

What the CQC found at Highbury Court Flats

Goodpublished 15 February 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Staffing, risk assessments, infection control and medicines management were generally safe, but guidance for medicines taken when needed needed more detail.
Effective?
Good
People's needs and preferences were assessed and care plans supported independence. The rating improved from Requires Improvement, although enhanced learning disability and autism training was still being provided.
Caring?
Good
Staff were patient, kind and respectful. People were involved in decisions, supported to maintain relationships and encouraged to develop skills and independence.
Responsive?
Good
Care plans were personalised and described people's wishes, communication needs and social histories. People were supported to make daily choices, access the community and raise concerns.
Well-led?
Good
The home had approachable leadership and a positive, person-centred culture. Some audits were late and senior quality visits had not taken place for over two years, so the CQC recommended stronger quality assurance systems.
The latest report, explained

What inspectors found, February 2023

Highbury Court Flats rated Good; inspectors found kind, safe and person-centred care, with some audits and medicines guidance needing improvement.

The inspection took place on 2 February 2023 and was announced. One inspector spoke with four people and five staff. They reviewed care and staff records, audits and reports, and checked infection control.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were supported to make choices, stay independent and use local services. Inspectors found enough staff, safe medicines systems, kind relationships and personalised care.

There were some areas to improve. Guidance for medicines taken when needed did not give enough detail, enhanced learning disability and autism training was still being introduced, and some quality checks had lapsed. The CQC made a recommendation to strengthen the quality assurance systems.

What inspectors praised
  • Kind staff relationships

    Inspectors found staff to be calm, caring and attentive to people's emotional and support needs. People said they were happy with the staff.

    “Staff relationships with people were caring and supportive.” from the report
  • Personalised support

    Care plans described people's preferences, communication needs and social histories. People had control over their daily lives and received help when they wanted it.

    “We found care plans were person-centred and described people's wishes and preferences.” from the report
  • Safe staffing

    The home had enough staff to meet people's needs and provide agreed support hours. People reported that staff were consistently available.

    “The service deployed enough staff to meet people's needs and cover their agreed hours of support.” from the report
What inspectors were concerned about
  • Medicines guidance

    needs fixing

    Protocols for medicines taken when needed did not explain clearly enough how one person would communicate a need for medicines such as pain relief. The service also planned to introduce observational checks of staff giving medicines.

    “However, these protocols needed further detail to provide staff with sufficient information on how the person would communicate medicines such as pain relief.” from the report
  • Staff training

    needs fixing

    The home had provided basic learning disability and autism awareness training, but this was not yet aligned with recent legal changes. Enhanced training was still being provided to all staff.

    “However, this course needed to be aligned to the recent changes in legislation.” from the report
  • Quality checks

    needs fixing

    Some audits were completed later than planned, and senior managers had not carried out quality visits for over two years. The CQC recommended that the home's quality assurance systems be strengthened.

    “Senior managers undertook quality visits on behalf of the provider prior to 2020 and completed a report/audit following their visit.” from the report
Questions to ask them, based on this report
  1. 01Have all staff now completed the enhanced learning disability and autism training referred to in the report?
  2. 02How have you improved the instructions for medicines taken when needed, including how a person communicates that they need pain relief?
  3. 03Are staff now having observational competency checks when administering medicines?
  4. 04How often are quality audits now completed, and how do you make sure they are not late?
  5. 05Have senior quality visits restarted since the inspection, and what did the most recent visit find?

This inspection covered all five CQC questions and included infection prevention and control checks under Safe. This explanation was written from the published report of 15 February 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Highbury Court Flats

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. February 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Highbury Court Flats →

  2. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. January 2020

    Registered with the Care Quality Commission on 2 January 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

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At least 100 live-in carers within about an hour of Bury

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Most charge £980 to £1,260 a week. 94 can care for a couple. 11 years' experience on average.

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