Highland House

Highland House is a residential care home that provides personal and nursing care for up to 27 older people, including those living with dementia. This recent inspection report highlights significant improvements since the previous assessment, with the service now demonstrating strengths across all five key areas evaluated by the Care Quality Commission. Residents and their families have reported feeling safe and well-supported, and the home has made substantial progress in addressing previous areas of concern.

Regarding safety, Highland House has enhanced its risk assessment processes, ensuring detailed guidance is in place for staff to manage potential health and welfare risks, such as those associated with medical equipment. Medication management is now robust, with accurate record-keeping and appropriate storage. Safeguarding procedures are well understood by staff, and concerns are reported and acted upon appropriately. Recruitment processes are thorough, ensuring staff are suitable for their roles, and there are sufficient staff numbers to meet residents' needs. Infection control measures are in place, and the home is kept clean.

In terms of how effective the care is, Highland House continues to provide good outcomes for its residents. Assessments of needs are comprehensive, informing personalised care plans that respect individual choices and preferences, including cultural and religious requirements. Staff receive appropriate training and support, including regular supervision, to ensure they have the skills to meet diverse health needs. Residents are supported to maintain a balanced diet with choices of meals, and staff work effectively with healthcare professionals to ensure timely and appropriate care. The home's environment has been adapted to support residents' needs, and staff understand and apply the principles of the Mental Capacity Act.

On caring, the service consistently treats residents with dignity and respect, ensuring their individual choices and preferences are known and followed. Staff are described as kind and helpful, supporting residents discreetly and anticipating their needs. Residents are encouraged to maintain their independence, and their privacy is respected. Staff also work to understand residents' communication needs and preferences, ensuring they feel involved in decisions about their care.

In its responsiveness, Highland House has made notable improvements. Care plans are now consistently reviewed and updated to reflect changing needs, ensuring they accurately detail residents' preferences and provide clear instructions for staff. The home ensures information is provided in formats residents can understand, including visual aids to support communication. Residents are supported to maintain relationships and participate in a range of activities that are meaningful and enjoyable to them, with staff facilitating outings and social engagement.

Finally, in how well-led the service is, Highland House fosters an open and transparent culture. Regular checks and audits are conducted, with actions taken to address any identified shortfalls. The registered manager and staff understand their responsibilities, and there is a commitment to continuous improvement, with resident feedback actively sought and acted upon. Relatives are aware of how to raise concerns, and these are investigated thoroughly. The home has successfully addressed previous regulatory breaches, demonstrating strong leadership and a commitment to providing high-quality care.