8 July 2014
During a routine inspection
Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with the provider and from looking at records.
Is the service safe?
At the time of our inspection the service was safe
The provider told us if they had any concerns about how people who used the service were cared for they would take their concerns seriously.
On the day of the inspection the home was clean and there were no unpleasant odours.
We saw that the administration of medicines was carried out in a safe way.
We inspected the staff rotas which showed that the provider was the sole carer on duty to meet people's needs throughout the day and night. Arrangements were in place for emergency cover by other family members.
Is the service effective?
At the time of our inspection the service was effective
People all had an individual care plan which set out their care needs. Care plans contained satisfactory information and were accessible to staff and the people who used the service. . People had access to doctors, district nurses, chiropodists and opticians and suitable records were maintained regarding this support.
Is the service caring?
At the time of our inspection the service was caring
Our observations of the care records we looked at enabled us to conclude that individual wishes regarding people's care and support were taken into account and respected.
Is the service responsive?
At the time of our inspection the service was responsive
From reviewing records we judged care plans included suitable information to assist the staff who worked at the home.
We were told by other independent professionals that communication with the home could be better
Is the service well-led?
At the time of our inspection the service was not well led. This was due to the fact that Higher Keason did not have a registered manager in place. The Registered Provider must ensure that the regulated activity accommodation for persons who require nursing or personal care is managed by an individual who is registered as a manager in respect of the activity, as carried on at Higher Keason Care Home.
The home had a system to check people were happy with the service. People's personal care records, and other records kept in the home, were accurate and complete.
Activities and social interaction for people who used the service maybe compromised due to availability of staff.