The Care Quality Commission
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Archived: Hightrees Residential Care Home

Overall: Good read more about inspection ratings

24 Clay Hill, Enfield, Middlesex, EN2 9AA (020) 8363 2238

Provided and run by:
Hightrees Residential Care Home

All Inspections

8 September 2015

During a routine inspection

This inspection took place on 8 September 2015 and was unannounced. At our last inspection in October 2013 the service was meeting all the standards we looked at.

Hightrees Residential Care Home is a care home for older adults. The maximum number of people they can accommodate is 12. On the day of the inspection there were 10 people residing at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and had no concerns about how they were being cared for at the home. They told us that the staff were kind and respectful and they were satisfied with the numbers of staff on duty so they did not have to wait too long for assistance.

The registered manager and staff at the home had identified and highlighted potential risks to people’s safety and had thought about and recorded how these risks could be reduced.

We saw that risk assessments, audits and checks regarding the safety and security of the premises were taking place on a regular basis and were being reviewed and updated where necessary.

Staff understood the principles of the Mental Capacity Act 2005 (MCA) and told us they would presume a person could make their own decisions about their care and treatment in the first instance. Staff told us it was not right to make choices for people when they could make choices for themselves.

The registered manager made sure that no staff were offered a post without first providing the required information to protect people from unsuitable staff being employed at the home.

People had good access to healthcare professionals such as doctors, dentists, chiropodists and opticians and any changes to people’s needs were responded to appropriately and quickly.

There were systems in place to ensure medicines were handled and stored securely and administered to people safely and appropriately.

People told us staff listened to them and respected their choices and decisions.

People using the service and staff were positive about the registered manager. They confirmed that they were asked about the quality of the service and had made comments about this. People felt the registered manager took their views into account in order to improve service delivery.

8 October 2013

During an inspection looking at part of the service

We carried out this inspection to check whether the registered manager had made improvements in the service since we last inspected 13 May 2013. At that inspection we found the registered manager had failed to ensure people using the service were protected from unsafe or unsuitable premises, by means of adequate maintenance. We saw some bedrooms were in poor repair, noting issues such as stains on carpets and wallpaper peeling off walls and ceilings. At the inspection on 8 October 2013, we saw that the manager had started a refurbishment of the whole home. In the bedrooms the wallpaper had been removed and the walls painted, all the carpets had been cleaned. The people who lived in the home were able to say workmen had been in and they all agreed the home looked good.

During our inspection on 13 May 2013, we suggested some changes in the way some medication was stored at the home. We saw that allergies were not recorded on the medication sheets and the registered manager was not recording the temperature of the medication room or cabinets. At the inspection on 8 October 2013, we saw that the manager had purchased a controlled drug cupboard. The manager had liaised with the home's pharmacy and all MAR sheets (medication administration record) had information about people's allergies. We saw daily recordings of the temperatures in the medication room and cupboards.

13 May 2013

During a routine inspection

People expressed their views and were involved in making decisions about their care and treatment. We saw staff knew how to communicate with people. Staff knocked on people's doors and announced themselves before entering. A relative told us "staff are very kind, I leave feeling very happy." People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Staff treated people well. Staff supported people to choose when to get up in the morning and when to go to bed at night. One person told us"I get the paper every morning, if I need anything the staff will get it for me, I cannot fault this home it's marvellous.'

We looked at all ten bedrooms in the home. Some were in a poor state of repair such as stains on carpets, with wall paper coming off walls and ceilings.

We saw that people who used the service received the correct medication. Training records showed that all new staff had participated in a four week induction programme. Staff received appropriate professional training.

People who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. We spoke with four people who used the service. One said 'If I have any worries I would talk to the manager she would sort it all out, but I've never had any worries.'

25 May 2012

During a routine inspection

The four people spoken with told us that staff involved them in decisions about care and treatment. They received the care and support they needed. A person said, "Staff are very helpful." The three staff spoken with confirmed they were told about the needs of people.

People spoken with confirmed that they trusted staff and felt safe. A person said, 'I am safe here.' People said to us that staff were available to help them. Staff responded to any suggestions they made about the service.