Latest Inspection
This is the latest available inspection report for this service, carried out on 18th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Highbury Residential Home.
What the care home does well The Inspector observed warm, friendly and light hearted interactions between service users and staff. During breakfast time the cook offered each service user a range of food to choose from for their breakfast. Meals appeared healthy, varied and nutritious. Care plans were clear and easy for staff to follow, to ensure the care is delivered to meet the individual service users care needs and wishes. Quality assurance systems are in place and building upon providing a service that is run in the best interests of service users. A member of the team has responsibilities for organising activities and these are carefully planning and arranged with service users to meet their preferences and capacities. For example, valentine flower arranging, an appearance by a country and western singer, and local children singing and playing recorders. A relatives survey told us: `I would like to add that the care and kindness my mother has been given since being in Highbury Residential Home has been first rate. The staff have always been caring and willing to talk. The atmosphere and welcoming environment are always comforting.` What the care home could do better: Staff training plan to be revisited to ensure they have received current training that reflects the needs of the service users in particular around dementia care, mental capacity act, deprivation of liberties and safeguarding adults. Service users would benefit from better trained staff supporting them A Registered Manager is required to manage the home. Service users would live in a home run and managed by a person fit to be in charge. Regulation 26 visits records completed by the Registered Provider should be reviewed to ensure they contain sufficient detail and scrutiny to ensure he can review the quality of the service. Surveys and satisfaction questionnaire should be sent out at regular intervals, dated and the results analysed and published. This would ensure the quality if care can be properly reviewed. Random inspection report
Care homes for older people
Name: Address: Highbury Residential Home 38 Mountsorrel Lane Sileby Leicestershire LE12 7NF one star adequate 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 random inspection of this care home. A random 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: Helen Abel Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Highbury Residential Home 38 Mountsorrel Lane Sileby Leicestershire LE12 7NF 01509813692 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sudera Care Associates Limited care home 27 Number of places (if applicable): Under 65 Over 65 0 27 dementia old age, not falling within any other category Conditions of registration: 27 0 The maximum number of service users who can be accomodated is: 27 The registered person may provide the following category 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 Date of last inspection Brief description of the care home Highbury Residential Home is owned by Sudera Care Associates and is registered to provide personal care and accommodation for twenty-seven older people who may
Care Homes for Older People Page 2 of 8 Brief description of the care home have additional needs including Dementia. The home is situated in the village of Sileby in Leicestershire, which gives the residents access to the local shops, cafes and other facilities. It can be reached by public and private transport and there is parking in the grounds of the home. Highbury Residential Home is a conversion of a large house into a care home that had an extension added in 1991. The original house has three floors and the extension has two. Separate lifts and staircases access these, and there is no access from one to the other except by the ground floor. The homes brochure provides information about the service to prospective and current residents and includes the terms and conditions of the stay. There is information available in the reception area including the Registration certificate and the latest copy of the Inspection Report from the Care Quality Commission. Care Homes for Older People Page 3 of 8 What we found:
The focus of this Random Visit was to assess progress made since our last Key inspection on the 1st June 2009. In planning our visit we examined the service history, last key inspection, concerns and complaints information, the Annual Quality Assurance Assessment (AQAA) and surveys. This was an unannounced visit on a Tuesday morning at 8.30. Service users were seen getting up and taking breakfast, and getting ready for the day. Documentary evidence showed: Written information- Statement of Purpose and Service User Guide is made available around the home. They include the aims and objectives of the service and a complaints procedure. Staff have regular staff meetings and staff supervision. They are well supported by a trained and experienced manager. Quality assurance systems include, satisfaction questionnaires, calling cards left in bedrooms for testing out cleanliness, quarterly newsletters and meetings for service users relatives and supporters. Managers demonstrated a clear commitment to running the home in the best interests of service users. Staff deployment was good with sufficient staff in duty to meet service users needs. Staff training plans are still being developed. Staff training plans were agreed to be a priority to ensure staff have the most current training (as required at our last visit). Surveys from relatives of service users told us; Most elderly people Ive seen in the home are suffering from dementia. I feel that the staff although very caring do not have enough knowledge or expertise on how to cope with this condition. The Inspector noted an area for cleaning. This was actioned immediately. An additional housekeeper is joining the staff team and will help ensure cleanliness is maintained in the home. The home was found in need of redecoration. Managers confirmed funds have now been made available to do this. The home provides a wide ranging activities and pursuits for service users. This benefits service users and ensure they are have regular leisure pursuits and stimulating activities made available. The acting manger is aware of the requirements of a Registered Manager being in place to run the home. She will be meeting with the Registered Provider after our visit to discuss this further. Regulation 26 visits records completed by the Registered Provider lacked detail and scrutiny and should be reviewed. What the care home does well:
Care Homes for Older People Page 4 of 8 The Inspector observed warm, friendly and light hearted interactions between service users and staff. During breakfast time the cook offered each service user a range of food to choose from for their breakfast. Meals appeared healthy, varied and nutritious. Care plans were clear and easy for staff to follow, to ensure the care is delivered to meet the individual service users care needs and wishes. Quality assurance systems are in place and building upon providing a service that is run in the best interests of service users. A member of the team has responsibilities for organising activities and these are carefully planning and arranged with service users to meet their preferences and capacities. For example, valentine flower arranging, an appearance by a country and western singer, and local children singing and playing recorders. A relatives survey told us: I would like to add that the care and kindness my mother has been given since being in Highbury Residential Home has been first rate. The staff have always been caring and willing to talk. The atmosphere and welcoming environment are always comforting. What they could do better: 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 R No £ 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 1 30 18 The registered person to 01/09/2009 review the training provided to staff, and establish a training plan which enables staff to meet the needs of people living at the home, and enables staff to understand and promote the rights of people. Training to include:- 1)safeguarding adults from abuse 2) dementia awareness. 3) mental capacity act training to include deprivation of liberty safeguards. To ensure that the needs and rights of people are being met and supported by staff who are trained and are competent to do so. By failing to do so you are in breach of regulation 18(1), which is an offence under the Care Homes Regulations 2001. 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 1 31 8 The registered person shall appoint an individual to manage the care home. This will ensure service users live in a home which is run and managed by a person who is fit to be in charge. 18/06/2010 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 1 33 Service users will benefit from continuous self monitoring of quality assurance systems. Feed back through questionnaire / surveys should be analysed and inform all planning and reviews. The visits by the Registered Provider (Regulation 26 visits) format, should be reviewed and improved. This would ensure the Registered Provider can obtain an opinion of the standard of care upon each visit. 2 33 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
