Fairway View
Nottingham, NG6 · 0.7 km
ResidentialDementia
Rated 6 years agocare home
CQC report explained · a nursing home, run by MPS Care Group
Highfields Nursing Home
330 Highbury Road, Bulwell, Nottingham, NG6 9AF
Goodpublished 21 November 2024, 21 months ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The latest report, explained
What inspectors found, January 2024
Rated Requires Improvement; inspectors found kind, personalised care but serious problems with medicines, infection control, safeguarding and management.
This was an unannounced follow-up inspection over 26 and 27 September and 10 October 2023. Inspectors spoke with people, relatives, staff and health professionals. They reviewed care plans, medicines records, staff training, recruitment records and management systems.
The home was caring and responsive. Staff knew people well, treated them kindly and supported personalised care, activities and communication. People were supported with food, healthcare, end of life wishes and decision-making.
However, some important safety systems were not working well. Inspectors found poor cleaning and infection control, unsafe medicines practices, gaps in staff training, safeguarding concerns and ineffective quality checks. The overall rating was Requires Improvement. Safe, Effective and Well-led were also Requires Improvement, while Caring and Responsive were Good.
What inspectors praised
Kind staff
Staff knew people well and generally treated them with patience, dignity and compassion. People and relatives spoke positively about the staff team's approach.
“Staff knew people well and showed kindness and compassion towards people.” from the report
Personalised care
Care plans included people's histories, interests, preferences and communication needs. Relatives were involved in reviews of care.
“People and their relatives had been involved in reviews of their care.” from the report
Support with health needs
Staff arranged support from health professionals when people needed it. The home worked with visiting health and social care teams.
“Staff were attentive to people's health needs, we saw from records the service had identified when people required support” from the report
Food and nutrition
Staff understood people's dietary needs and supported people discreetly at mealtimes. People were weighed regularly and records were checked for concerns.
“People were weighed regularly, to ensure they maintained a healthy weight.” from the report
What inspectors were concerned about
Infection control and cleanliness
seriousInspectors found poor cleaning, damaged areas and soiled pressure-relieving equipment. This increased the risk of infection for people, relatives and visitors.
“The home was visibly dirty in parts, with stains and malodour observed on some carpets, flooring, and mattresses.” from the report
Medicines safety
seriousMedicines were not always stored or administered safely. Staff had out-of-date competency checks, some records were inaccurate and one rescue medicine could not initially be given safely by trained staff.
“Medicines were not received, stored and administered safely.” from the report
Safeguarding concerns
seriousInspectors observed a disrespectful interaction and inappropriate moving of a person. Required records and welfare checks were not completed at the time.
“This placed the person at risk of harm.” from the report
Staff training and competence
seriousSome staff had not received required training, supervision or competency checks for their roles. Agency staff did not always receive a robust induction.
“The provider had failed to provide sufficient numbers of competent and trained staff, which increased the risk to people's safety.” from the report
Weak quality monitoring
seriousThe provider's audits did not reliably identify or fix problems. A mixed floor covering that created a falls risk had not been dealt with after the previous inspection.
“Systems and processes to monitor the quality of care and monitor staff were not being followed.” from the report
Questions to ask them, based on this report
- 01What evidence can you show that all staff who handle medicines have completed recent training and competency checks?
- 02What has been done to replace or repair the stained carpets, flooring and mattresses, and how is cleaning now checked?
- 03How are soiled pressure-relieving equipment and other shared equipment identified, cleaned and allocated to specific people?
- 04What changes have been made to safeguard people after the incidents observed during the inspection, including staff handling and welfare checks?
- 05How do your current audits identify and quickly fix risks such as medicines errors, staff training gaps and falls hazards?
This was a follow-up inspection prompted by the previous breach and concerns about healthcare responsiveness, with detailed checks of Safe, Effective and Well-led; Caring and Responsive were also rated. This explanation was written from the published report of 10 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Highfields Nursing Home
8 rated inspections over 8 years: the service has held its Requires improvement rating throughout.
- January 2024Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2022Requires improvementup from InadequateSafe: Requires improvementWell-led: Requires improvement
- December 2021Inadequatedown from Requires improvementSafe: InadequateWell-led: Inadequate
- April 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- June 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 16 September 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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