Archived: Highfield Resource Centre

Updated 23 February 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 18 January 2016 and was unannounced. The inspection was completed by an adult social care inspector.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the notifications we received from the service and reviewed all the intelligence CQC held to help inform us about the level of risk for this service.

During the inspection we used the Short Observational Framework Tool 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 observed staff interacting with people who used the service and the level of support provided to people throughout the day, including meal times.

During our inspection we spoke with three people who used the service and four visiting relatives. We also spoke with the registered manager, two deputy managers, three members of care staff, the cook and three visiting professionals.

We looked at six people’s care plans along with the associated risk assessments and their Medication Administration Records (MARs). We also looked at how the service used the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) to ensure that when people were assessed as lacking capacity to make informed decisions themselves or when they were deprived of their liberty, actions were taken in their best interest.

We looked at a selection of documentation pertaining to the management and running of the service. This included quality assurance information, staff recruitment records, training records, policies and procedures and records of maintenance carried out on equipment. We also took a tour of the service to check general maintenance as well as cleanliness and infection control practices.

Updated 23 February 2016

Highfield Resource centre is registered to provide care for up to 34 people who may have health, social or dementia care needs. There are three permanent beds and 31 which are jointly funded with the NHS to provide reablement support to people leaving hospital. The home is run by Kingston upon Hull City Council and is located on the outskirts of Hull and has access to good public transport.

This inspection was undertaken on 18 January 2016, and was unannounced. The service was last inspected on 7 July 2014 and found to be compliant with all of the regulations that we assessed.

There was a registered manager at the service at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service were safe. Care workers had been trained to recognise the signs of potential abuse and knew what actions to take if they suspected abuse had occurred. Appropriate numbers of safely recruited staff were deployed to meet the assessed needs of the people who used the service. Systems were in place to manage medicines safely. Staff who administered medicines had completed relevant training to enable them to do so safely and people were supported to self-medicate when possible.

People’s needs were met by staff who had undertaken relevant training. Staff received effective levels of support, professional development and mentorship. People who used the service were supported to make decisions about the care and support they received. Staff followed the principles of the Mental Capacity Act 2005 and understood the need to gain consent before care was provided. People’s nutritional needs were assessed and monitored; their preferences and dietary requirements were known and catered for. Advice from relevant health care professionals was provided as part of the multi-disciplinary approach utilised within the service.

People were supported by kind, caring and attentive staff who understood their preferences for how their care and support should be delivered. Staff understood the importance of respecting people’s privacy, supporting them to maintain their dignity and treating them as an individual.

A needs assessment had been completed for each person who used the service which was then used to develop an individual plan of care. People’s views were listened too, recorded and used to ensure they received care in line with their preferences. A range of equipment was available which helped to ensure people could maintain their independence and develop their independent living skills.

A quality assurance system was in place that consisted of audits, checks and feedback from people who used the service. When shortfalls were identified action was taken to improve the level of service. There was a registered manager in place who understood the requirement to report notifiable incidents that occurred within the service.