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Inspection on 21/05/10 for Highfield House Residential Home

Also see our care home review for Highfield House Residential Home for more information

This is the latest available inspection report for this service, carried out on 21st May 2010.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All the residents who replied to our survey told us that they were well cared for, and always received the care and support they needed. "The food and the staff are lovely." "Good food, cleanliness and a friendly atmosphere." Staff told us that Highfield House was "a nice warm caring place to work." Staff training was described in the staff surveys as keeping staff up to date, maintaining their competence and helping them understand and meet the individual needs of people. We saw examples of the training resources developed by the provider, including a workbook on dementia care. Six staff had completed an in-house advanced medication course. Others were following a local college course. The provider has a comprehensive system of in-house and regional audits of all aspects of care and management, as well as annual surveys of residents, and a monthly report from a visiting representative of the provider. The AQAA told us that `we have developed our menus to allow for resident choice and preferences. The menus are customer led and nutritionally balanced.` Comments in the residents` surveys supported this view of the standard of meals.

What the care home could do better:

No requirements have been made as a result of this inspection. The AQAA told us that the home will continue with a programme to upgrade the en-suite facilities in residents` rooms.When places become available, the home has staff waiting to start NVQ training.

Thematic inspection report Care homes for older people Name: Address: Highfield House Residential Home London Road Halesworth Suffolk IP19 8LP two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a thematic inspection of this care home. A thematic inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: John Goodship Date: 2 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Highfield House Residential Home London Road Halesworth Suffolk IP19 8LP 01986872125 F/P01986872125 cobyd@bupa.com www.bupa.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Deirdre Ann Coby Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFC Homes) Ltd care home 40 Number of places (if applicable): Under 65 Over 65 0 39 0 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 40 0 2 Highfield is situated close to the town of Halesworth in Suffolk. The home is owned by BUPA and is registered for 40 older people. The home is registered to provide care to people with dementia and two people under the age of 65 with a physical disability. Highfield is not registered to provide intermediate or nursing care. Care Homes for Older People Page 2 of 8 Brief description of the care home Highfield has easy access to the shops and is on the local bus route. It is situated within extensive grounds, with a summerhouse, sensory garden, patio and terraced areas. The home offers 32 single rooms and 3 double rooms, 28 rooms have en-suite toilet facilities and 12 have an en-suite bath or shower. Communal areas include two lounges, one with a television and one designated as a quiet room, two conservatories and two dining rooms. Highfield has produced a statement of purpose and a colour brochure providing detailed information and photographs about the home. These are available on request. People moving into the home are provided with a welcome pack, which includes the service user guide, and information about local services and services provided in the home. It also contains a copy of the BUPA terms and conditions of residence and a copy of the complaints procedure. Each person is issued with a contract, which specifies their agreed fees and how much they are expected to pay on a weekly basis. Care Homes for Older People Page 3 of 8 What we found: We visited Highfield House to do a random inspection. The home is rated as providing good outcomes for its residents. We sent out survey questionnaires to residents and staff beforehand and received six back from staff and thirteen back from residents. In addition, the manager was required to complete an Annual Quality Assurance Assessment (AQAA) which asks the manager what the home does well, what improvements have taken place in the last twelve months, and what the home is planning to do to improve the service. From the information in the AQAA, we identified quality assurance as a key area which the home and the provider had developed to improve care. We saw an example of the new format for care plans which take staff through a logical path from pre-admission assessment, to care planning, to risk assessments and reviews. We also looked at the internal and external audits of several care and environmental areas, and the Personal Best programme for staff development. The latter supports staff from induction to achieve a person centred approach to their work. A recent audit had highlighted the need to further training for staff in the control of infection. The local NHS control of infection nurse had visited the home to advise on procedures and conduct the training. What the care home does well: What they could do better: No requirements have been made as a result of this inspection. The AQAA told us that the home will continue with a programme to upgrade the en-suite facilities in residents rooms. Care Homes for Older People Page 4 of 8 When places become available, the home has staff waiting to start NVQ training. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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