High Pines Residential Home Limited

Updated 4 February 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by one inspector.

Service and service type

High Pines Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service since the last inspection. We used all of this information to plan our inspection.

During the inspection-

We spoke with four people who used the service and four relatives about their experience of the care provided. We spoke with six members of staff including the provider, registered manager, head of care, senior care workers, care workers and senior leisure therapist. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 4 February 2020

About the service

High Pines Residential Home is a residential care home providing personal care to 23 older people who may be living with dementia at the time of the inspection. The service can support up to 27 people in one large adapted building.

People’s experience of using this service and what we found

People told us, they were happy and safe living at the service. Potential risks to people’s health, safety and welfare had been assessed. There was guidance in place to mitigate risks.

Accidents and incidents had been recorded, analysed to identify patterns and trends. The registered manager was open and transparent when things had gone wrong. Action had been taken to reduce the risk of them happening again.

Staff had been recruited safely and there were enough staff to meet people’s needs. Staff received supervision and training to develop their skills to meet people’s needs. Staff monitored people’s health and referred them to health care professionals when their needs changed. Staff followed the guidance given by professionals to keep people as healthy as possible. Medicines were managed safely, and people received their medicines as prescribed.

People were supported to eat a balanced diet. People had access to activities they enjoyed and keep them as active as possible. People were treated with dignity and respect.

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

People met with the registered manager before moving into the service to check staff could meet their needs. Each person had a care plan that contained details of their choices and preferences. People had been involved as much as possible in developing them. People’s end of life wishes were recorded. Staff worked with GP’s and district nurses to support people at the end of their lives.

People were supported to express their views on the service. Complaints had been recorded and investigated following the provider’s policy. The environment had been developed to support people living with dementia. People were given information in the way they can understand.

Checks and audits had been completed on the quality of the service and action had been taken when shortfalls were found. The registered manager attended local forums to keep up to date with developments to continuously improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 28 February 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.