Background to this inspection
Updated
20 September 2017
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 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 22 and 23 August 2017 and was unannounced.
This inspection was completed by one 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.
In addition we asked the local authority and Healthwatch for any information they had which would aid our inspection. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services. We used this information as part of our planning.
We spoke with four people living at Highfield House and three relatives. In addition we spoke with three care staff and the registered manager.
We looked at the care and support plans for three people including assessments of risk and records of medicine administration. We confirmed the safe recruitment of two staff members.
Updated
20 September 2017
Highfield House Nursing Home provides nursing and personal care for up to 13 people in a small residential setting in Macclesfield. At this inspection, 13 people were living there.
At the last inspection, the service was rated good. At this inspection, we found the service remained overall good.
People were not always protected from the risks of harm associated with the use of mobility equipment. Risk assessments and modification to equipment was not personal to the individual neither did they take account of people’s individual needs.
People were safe from the potential harm of abuse or ill-treatment as staff knew how to recognise and respond to such concerns. People were supported by enough staff to meet their needs. People were assisted with their medicines safely.
The provider followed safe recruitment procedures when employing new staff members. Staff were well supported and undertook training relevant to those they assisted.
People were assisted by a staff team that knew them well. People had care and support plans that were personal to them and reflected their individual needs and preferences.
People had choice and control over their lives. Staff were aware of current guidance which directed their practice and people’s human rights were protected by the staff who supported them.
People received support from a staff team that continued to be caring and compassionate. People had their privacy and dignity respected by those supporting them. People were supported by staff members when they needed comfort and support.
People and their relatives were encouraged to raise any concerns or complaints. The provider had systems in place to address any issues raised with them.
The management team were approachable and supportive. People receiving services from Highfield House Nursing Home felt involved and their suggestions were valued by the provider.
Staff members felt respected as employees and their opinions and ideas were listened to by the provider. The provider had systems in place to monitor the quality of service and where necessary made changes to drive improvements.
Further information is in the detailed findings below.