The Highviews

The home had enough staff, including one-to-one support for activities and community visits. People and staff said the extra staffing had improved quality of life.

“The service had enough staff, including one-to-one support for people to take part in activities and visits out in the community.” from the report

People had more chances to go out and take part in activities they chose, including arts and crafts and local trips.

“We observed people were being supported with activities they had chosen including arts and crafts as well as being supported with trips out in the local community.” from the report

Risk assessments and care plans had improved. Staff followed advice about eating and drinking risks, and environmental safety arrangements had also improved.

“Risks to people were identified and assessed. Care and support plans provided guidance for staff in how to support people safely to mitigate risks.” from the report

People were involved in service meetings and decisions about activities and the home. A concern about the lounge television was acted on.

“Notes from meetings showed how people were engaged. For example, people were encouraged to take turns to chair the meetings.” from the report

Not all night staff had been trained and assessed as competent to administer as-needed medicines. A temporary arrangement was being used while new staff were trained.

“Staff who worked at night had not all been trained and assessed as competent in administering medicines.” from the report

The new systems and changes had not yet been shown to be fully embedded and sustained. This affected safety, personalised care and management oversight.

“Systems for assessing and managing risks were not yet fully embedded and sustained.” from the report

Although staffing levels had improved, the provider was still recruiting to make sure suitable staffing levels could be maintained over time.

“The provider continued to recruit new staff. This remains an area of practice that needs to improve to ensure that suitable staffing levels are sustained over time.” from the report

Some people had information about their wishes, but the manager described improvements to end-of-life care plans as work in progress.

“The registered manager described this as work in progress and plans to improve end of life care plans were included on the service improvement plan.” from the report