CQC report explained · a residential care home
What the CQC found at Highfield
Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.
What inspectors found, May 2018
Highfield rated Good; inspectors found safe, kind and responsive care, with some records and staff knowledge needing attention.
This was an unannounced comprehensive inspection on 30 April 2018, followed by telephone feedback on 1 May. The inspector observed care, spoke with people, relatives and staff, and checked care plans, daily records, medicines records and quality checks.
The home supported five people with learning disabilities. The wider service also provided care in people's own homes. Inspectors found enough staff, good safeguarding arrangements, suitable care plans and respectful support. People were described as relaxed and staff knew their needs well.
The service had improved its work under the Mental Capacity Act since the previous inspection. Mental capacity assessments had been completed and required Deprivation of Liberty applications had been made. However, there had been medicine recording errors, some staff did not know a person's fluid target, and staff needed more knowledge of DoLS terminology.
The overall rating was Good. All five areas were rated Good. This means inspectors found the service met the required standards at the time of this inspection, although the report identified areas for continued improvement.
Enough staff
Inspectors found enough staff to support people safely and saw that people's needs were responded to straight away.
“There were enough staff on duty to support people safely.” from the report
Kind and respectful care
Staff knew people well, supported their choices and treated them with patience, privacy and dignity.
“People were very relaxed in the presence of care staff and the registered manager.” from the report
Personalised support
Care plans included people's likes and dislikes. People were supported with individual activities, group activities and community links.
“Care plans were detailed and contained information on people's likes and dislikes.” from the report
Improved legal decision-making
The service had addressed the previous concerns about mental capacity assessments and DoLS applications.
“At this inspection, we checked whether improvements had been made and found they had.” from the report
Active quality checks
The manager and provider used audits, feedback and accident reviews to monitor the service and identify actions.
“The registered manager conducted regular audits of the quality of the service.” from the report
Medicine recording errors
needs fixingThere had been eight recorded medicine errors across the service in the previous year. Some medicines were given correctly but not recorded, so ask how this is now checked.
“The registered manager told us there had been eight recorded medicine errors across the service in the past twelve months.” from the report
Fluid information not known by staff
needs fixingOne person had a fluid target in their care plan, but staff did not know it or where to find it. The chart was updated during the inspection.
“Whilst guidance in this person's care plan stated what their fluid target was, staff did not know this or where to locate the information.” from the report
DoLS knowledge
minorStaff understood how to protect people but were unsure about DoLS terminology. Further training had been arranged for May 2018.
“Staff understood their role in protecting people, but were unsure of the terminology of what DoLS meant.” from the report
Feedback analysis incomplete
minorQuestionnaires from people living at the home had not yet been analysed when inspectors visited.
“Questionnaires from people that lived at Highfield bungalow had not yet to be analysed.” from the report
- 01What changes have been made to prevent medicines being given correctly but not recorded?
- 02How do staff find and monitor each person's fluid target and other important care information?
- 03What training have staff completed on the Mental Capacity Act and Deprivation of Liberty Safeguards?
- 04Have the questionnaires from people living at the home now been analysed, and what actions followed?
- 05How will you involve me and my relative in care plan reviews and feedback about the service?
This was an unannounced comprehensive inspection of the care home and the wider domiciliary care service, with further telephone feedback on 1 May 2018. This explanation was written from the published report of 26 May 2018 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.
Every inspection of Highfield
2 rated inspections over 2 years: the service has held its Good rating throughout.
- May 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 January 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Warwickshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.