Highbury Nursing Home

We found the home environment was safe, clean and clutter free. Systems were in place to ensure people were supported by suitable numbers of experienced and trained staff. People were supported by safe and effective medicines management systems. Staff understood how to identify and respond to safeguarding concerns, which were investigated appropriately by the registered manager. At our previous assessment of the service, we had found the provider to be in breach of regulations relating to safe and effective care, and systems to protect people from the risk of abuse and neglect. At this assessment we found significant improvements in these areas and the service was no longer in breach of these regulations.

People’s care documentation was person centred and contained a good level of detail about their health needs, wishes and preferences. Staff worked together well and worked alongside other external services to support people with any changes in their care needs. At our last assessment the provider was in breach of regulation with regard to seeking consent from people. This was because a CCTV system had been installed in people’s home without consulting with them or seeking their consent. At this assessment the CCTV had been decommissioned and the cameras removed. We found that people’s rights and decisions around consent were understood by staff and respected. The provider was no longer in breach of this regulation.

At our last assessment the provider was in breach of regulation in relation to the quality of systems in place to monitor the safety and effectiveness of care provided. At this assessment we saw significant improvements. A robust system had been developed to support the management and staff team to conduct the checks and analysis needed to identify concerns and respond appropriately. Learning and improvement were central to these systems and had resulted in safer and better quality care for people. The service was no longer in breach of this regulation.