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Inspection on 04/01/10 for Highfield Residential Care Home
Also see our care home review for Highfield Residential Care Home for more information
This inspection was carried out on 4th January 2010.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Extracts from inspection reports are licensed from CQC, this page was updated on 28/03/2010.
Annual service review
Name of Service: Highfield Residential Care Home The quality rating for this care home is: The rating was made on: two star good service 0 9 1 2 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Ruth Hannent Date of this annual service review: 0 2 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 3 St Marys Road Cromer Norfolk NR27 9DJ 01263511421 01263879166 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Sterling Care (UK) Ltd Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is 20 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Highfield is situated in a residential area in Cromer and can accommodate 20 older people with dementia in 14 single and three double rooms of which 6 offer en-suite
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 20 0 0 20 no 0 9 1 2 2 0 0 8 facilities. The home is a converted large family type guest house and has retained many of its original features. There is a discreet and enclosed garden area to the rear of the premises but there is no off street parking available. the fees range from £420-£625 per week, depending on individual assessed needs. Information about the service including inspection reports and quality assurance survey outcomes are available through the management. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received or asked for since the last key inspection. This included: The Annual Quality Assessment Assurance (AQAA) that was sent to us by this service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Any surveys that have been returned to us from people using the service and from other people with an interest in the service. Information we have about how the service manages any complaints. What the management has told us about things that have happened in the service. These are called notifications and are a legal requirement. The previous key inspection and any results from visits that we may have made to the service in the past twelve months. Relevant information from other organisations. Any information from other people about the service. What has this told us about the service? We have received the AQAA from this home which is comprehensive and gives us a picture of the service offered. We have also received some surveys, 5 from staff, 3 from residents and 1 from a health professional. The AQAA tells us that all potential customers are given a comprehensive pre assessment taken by the Manager or Senior staff members who have had the training. The Home has regular contact with families and professionals and with the resident build a comprehensive person centred care plan. Medication procedures are carried out by trained staff and supported by the local pharmacist with an MDS system. A heath professional has returned a survey and praises the home and the staff on appropriate health care support. The staff are always welcoming and friendly with staff around to assist with health needs. is just one comment stated. The AQAA also tells us that the home is supported well by the health team to help residents manage their continence needs. Annual quality surveys are carried out with aims to improve the service but the AQAA tells us that the last survey was full of positive comments with very little to be changed. Surveys received from residents by the Commission are a little mixed. One states I have lived here for many years and would not change a thing yet another states I wish they would assess my care more often and staff listen but not all of them act. It also tells us that residents are treated with dignity and are offered choice in their every day lives. It states meals are offered in a relaxed, unhurried environment with choice from the menu. Some staff surveys tell us that this is not always the case and that more staff are required at mealtimes to ensure people who need assistance with their meal can have that attention. Annual Service Review Page 4 of 6 We are told that a new Activities Organiser is in post and a comprehensive activities programme is planned with residents and this is on display in the home. The complaints procedure is displayed and printed in large font for easy read around the home. The staff are trained in the Protection of Vulnerable Adults with more training planned in the future to ensure all staff are updated. The AQAA tells us that all staff are fully aware of zero tolerance towards any forms of abuse. Although the majority of comments received through the surveys are positive the areas of concern is the environment with a number of staff telling us the problems that occur with assisting residents who are now being admitted with more complex needs and require assistance and equipment that is not suitable for the small areas, especially the toilets. The concerns state that an accident may occur due to the difficulty in these small areas. The home is clean, tidy and free of offensive smells with all staff reported to have attended a course on infection control during August 2009. The AQAA tells us that the home has a good retention of staff who are trained and encouraged to develop their skills. Recruitment is carried out according to the homes procedures to ensure residents are cared for by safe hands. The Responsible Individual who completed the AQAA has a qualification in Leadership and Management of Care and a Registered Manager is in post with 6 years experience, NVQ4 and Registered Managers Award. They are working with the staff team towards achieving their NVQ qualification of those who have yet to acheive this. They are developing a more efficient recording system to allow more time with residents and less working with paper records and are using supervision of staff constructively. The Commission has not received any complaints about this service and the home has sent one notification informing us of a death in the home. What are we going to do as a result of this annual service review? We will continue to carry out a Key Inspection by 06/12/10. However, we may carry out an Inspection at any time if information received gives us concern. Annual Service Review Page 5 of 6 Reader Information
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