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CQC report explained · a residential care home

What the CQC found at No 66 - High View Care Services

Goodpublished 1 February 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, suitable recruitment checks, clear safeguarding arrangements and risks that had been assessed. Medicines records were complete, medicines were stored safely and audits were used to make improvements.
Effective?
Good
People had needs assessments and care plans, with input from relatives and health and social care professionals. Staff had relevant training and supervision, and people received support with nutrition, healthcare and independent decision-making.
Caring?
Good
People were treated with kindness, privacy and respect. Inspectors saw people being involved in decisions, supported with their cultural and communication needs, and encouraged to develop independence.
Responsive?
Good
Care plans described people's individual needs, preferences and communication requirements. People were supported to take part in activities, use local facilities, maintain relationships and raise complaints.
Well-led?
Good
The home had a registered manager, regular audits, staff meetings, surveys and improvement plans. Inspectors found that feedback and incidents were reviewed and that actions were taken when shortfalls were identified.
The latest report, explained

What inspectors found, February 2020

No 66 - High View Care Services was rated Good; inspectors found safe, kind and personalised care, with some areas for improvement already being worked on.

This was the first inspection of the home since it registered in January 2019. The inspection was unannounced and took place on 13 and 15 January 2020. The inspector spoke with three people using the service, two relatives, three staff and the registered manager.

Inspectors looked at care records, staff recruitment records, medicines records, policies and checks on quality and safety. They found enough trained staff, safe medicines arrangements, suitable risk assessments and good infection control. People were supported with food, health appointments, communication, activities and daily living skills.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found consistently good care and management at the time of the inspection. It was not an Outstanding rating, and the home will continue to be monitored until the next inspection.

What inspectors praised
  • Enough suitable staff

    Inspectors found staffing levels met people's needs. Recruitment records showed that checks, references, criminal record checks and health declarations had been completed.

    “We observed that staffing levels at the service were meeting people's needs.” from the report
  • Safe medicines

    Medicines records were complete, including guidance for medicines taken when needed. Medicines were stored securely and regular audits were used to identify and act on improvements.

    “MAR had been completed in full and there were no gaps in recording.” from the report
  • Good health support

    The home worked with GPs, dietitians, speech and language therapists and other professionals. Care records recorded appointments, outcomes and advice for staff.

    “People's care records showed they had regular contact with a range of health care professionals including a GP, dietitians and speech and language therapists.” from the report
  • Personalised care and independence

    People helped shape their care and were supported with activities, communication and daily living skills. Inspectors saw support aimed at helping people regain independence.

    “The service supported people where possible to regain their independent living skills and return to living in the community.” from the report
  • Quality monitoring

    The registered manager carried out regular audits, spot checks and improvement planning. The report says actions were taken when shortfalls were found.

    “The audits were up to date and showed actions were taken when shortfalls were identified.” from the report
What inspectors were concerned about
  • Staff communication

    minor

    The provider identified staff communication as an area for improvement after a survey. It updated communication guidance for two people.

    “Following the June survey areas for improvement were identified in relation to staff communication.” from the report
  • Key working records

    minor

    The annual improvement plan included improving how staff completed key working records. The registered manager said there had been improvements, but this remained part of the plan.

    “Actions included improving how staff were completing key working records.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to staff communication since the June 2019 survey?
  2. 02How do you check that key working records are completed properly and consistently?
  3. 03How will you assess whether the home can safely meet my relative's particular brain injury or mental health needs?
  4. 04How are relatives involved in reviews of care plans, risks and behaviour support plans?
  5. 05What activities and support for independence would be available for my relative?

This was the first inspection of the newly registered home and covered all five CQC questions, based on discussions, observations and checks of care, staff and management records. This explanation was written from the published report of 1 February 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.

The story over the years

Every inspection of No 66 - High View Care Services

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

  1. February 2020Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at No 66 - High View Care Services →

  2. January 2019

    Registered with the Care Quality Commission on 31 January 2019.

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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