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CQC report explained · a residential care home

What the CQC found at Highfield Manor Care Home

Goodpublished 4 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were in place, including PPE, testing, cleaning, visitor screening and safe admissions.
Effective?
Good
This targeted inspection did not assess the effective question.
Caring?
Good
This targeted inspection did not assess the caring question.
Responsive?
Good
This targeted inspection did not assess the responsive question.
Well-led?
Good
This targeted inspection did not assess the well-led question.
The latest report, explained

What inspectors found, August 2020

Inspected but not rated; inspectors found good infection control measures during the coronavirus-focused visit.

Inspectors visited on 18 August 2020. This was an announced, targeted inspection during the coronavirus pandemic. It looked only at infection prevention and control measures.

They found checks for visitors, including temperature checks, hand sanitiser and symptom screening. The home used video calls, emails and letters to help residents stay in touch with relatives during restrictions.

Inspectors were assured that shielding, social distancing, PPE, testing, cleaning and isolation arrangements were in place. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Visitor infection checks

    Visitors were screened before entering, with temperature checks, hand sanitiser and contact details collected for tracing if needed.

    “Temperatures were taken on entry and individual hand sanitizer bottles were given to visitors.” from the report
  • Family contact

    The home used other ways to help residents keep in touch with family and friends while local restrictions were in place.

    “Although local restrictions were in place at the time of the inspection, alternative measures such as video calls, emails and letters were utilised to update and maintain contact with family and friends.” from the report
  • PPE and isolation

    Inspectors found that PPE was used effectively and that there were clear procedures for isolation after hospital readmission.

    “Personal protective equipment (PPE) was used effectively to safeguard staff and people using the service and national guidance was implemented.” from the report
  • Risk management

    Risk assessments were in place for people and staff at higher risk, with measures intended to reduce risks to health and safety.

    “Risk management strategies were thorough.” from the report
  • Clean environment

    The environment was clean and hygienic, with increased cleaning schedules and expanded environmental audits.

    “The environment was clean and hygienic.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently screened and how are infection risks managed when visiting?
  2. 02How do you manage isolation when someone returns from hospital?
  3. 03How often are staff and residents tested, and how are test results acted on?
  4. 04How do residents keep in touch with relatives if normal visits are restricted?
  5. 05When was the wider quality of care last inspected and rated?

This was a targeted thematic inspection of infection prevention and control during the coronavirus pandemic; no ratings were awarded for the wider questions. This explanation was written from the published report of 28 August 2020 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.

An earlier report, explained

What inspectors found, December 2019

Rated Good; inspectors found safe, kind and personalised care with improvements since the previous Requires Improvement rating.

Inspectors visited unannounced on 5 and 7 November 2019. They spoke with people living in the home, visitors, staff and managers. They reviewed care records, staff recruitment files, training records, medicines systems, audits and the building.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from harm, received suitable food and healthcare, and were supported by trained staff.

People were treated with kindness and dignity. Care plans were personalised and regularly reviewed. The home offered a range of activities and had systems for handling complaints and learning from incidents.

The previous rating was Requires Improvement, published in December 2018. The provider had changed its legal entity, so this was treated as the first inspection of the newly registered service. The new overall rating was Good.

What inspectors praised
  • Safe medicines

    Inspectors found medicines were ordered, stored, given and recorded safely. Staff training and competency checks were in place.

    “We checked the medicines administration records and saw there were no errors.” from the report
  • Kind and respectful staff

    People and relatives described staff as kind, approachable and caring. Inspectors also observed positive relationships between staff and people living in the home.

    “We observed staff during the inspection. Staff had a good relationship with people who used the service and were kind and caring.” from the report
  • Personalised care

    Care plans recorded people's histories, preferences, interests and daily routines. Plans were reviewed when people's needs changed.

    “The plans were detailed and gave staff sufficient information to deliver effective care.” from the report
  • Activities and community links

    The home offered group and individual activities, including crafts, music, exercise, shopping and baking. It also worked with schools and other community organisations.

    “Other activities included arts and crafts, bingo, pamper sessions, bowls, going shopping, baking sessions, music and exercise.” from the report
  • Management and improvement

    Managers used audits, meetings and feedback to monitor the service and plan improvements. People, relatives and staff were given opportunities to share their views.

    “The registered manager conducted audits to maintain and improve the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have staffing levels and response times been maintained since the inspection?
  2. 02How are care plans currently reviewed when a person's needs or preferences change?
  3. 03What activities are available now, and how are they adapted for people who prefer individual support?
  4. 04Does the home now provide palliative care, or how would it arrange this if a resident needed it?
  5. 05How are medicines audits and staff competency checks carried out now?

This was an unannounced inspection covering all five CQC questions; it was the first inspection of the newly registered service, and the previous Requires Improvement rating was used to inform planning. This explanation was written from the published report of 4 December 2019 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 Highfield Manor Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. August 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Highfield Manor Care Home →

  2. December 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Highfield Manor Care Home →

  3. November 2018

    Registered with the Care Quality Commission on 27 November 2018.

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

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