29 March 2021
During an inspection looking at part of the service
High Hurlands Nursing Home is a nursing home providing personal and nursing care for up to 22 people with a learning disability, autism and/or associated health needs in a small village on the outskirts of Liphook in Hampshire. At the time of the inspection there were 22 people living at the home.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People’s care was designed around meeting their health, medical and wellbeing needs. Management and staff displayed a positive ethos that focused on treating people with respect and promoting their choice through supporting people to follow their interests.
Relatives fed back positively about the quality of care their family members received. There was a positive culture at the service, where staff told us that management were approachable and supportive.
The provider had recognised where improvements could be made in the governance of the service. They had employed a new acting management team, who had reviewed the overall quality, safety and governance structure in the home.
Risks related to people’s health and medical conditions were assessed to reduce the risk of harm. Where people had complex health needs, professional input was sought to ensure staff followed best practice.
There were systems in place to ensure people were safely supported to take their medicines as prescribed.
There were systems in place to help ensure people did not suffer abuse or avoidable harm. When incidents took place, the provider investigated these thoroughly to ensure lessons were learnt.
The provider had systems in place to ensure the home was clean and hygienic. They had put additional infection control measures in place to mitigate the risks related to the COVID-19 pandemic.
There were enough staff in place, who were suitably qualified and trained in their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 17 May 2018)
Why we inspected
We received concerns in relation to staffing, medicines management and the leadership at the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for High Hurlands Nursing Home on our website at www.cqc.org.uk.
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.