Archived: New Horizon Care Home Ltd

Updated 3 July 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was conducted by two inspectors.

Service and service type:

New Horizon Care Home Ltd is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

What we did:

During the inspection we spoke with the registered manager, the nominated individual and two care workers. We spoke with three people using the service. We reviewed the care records for two people using the service, training records for all staff, incident and accident records and other records used by the provider to monitor the quality of the service.

Updated 3 July 2019

About the service:

New Horizon Care Home Ltd is a residential home and provides accommodation, personal care and support for up to three people who have a range of needs including mental health needs. There were three people living in the service at the time of the inspection.

People’s experience of using this service:

The provider had a procedure for the administration of medicines but this was not followed all the times and some of the practices identified meant there was an increased risk of medicine errors occurring which in turn increased the risk of medicines not being administered safely and as prescribed..

Risk assessment and risk management plans did not include guidance on how the staff could reduce possible risks when providing support to people.

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible, the policies and systems in the service did not support this practice.

People’s care plans did not always identify the person’s wishes as to how they wanted their care provided and how they should be supported, if required, to access the community and activities outside the care home.

The provider's systems and processes for auditing the service were not always effective and did not always provide information to enable them to identify areas which required improvement.

There were procedures for recording incidents and accidents, complaints and safeguarding concerns with actions identified to resolve issues.

The provider had a recruitment process in place. Care workers completed a range of training and had regular supervision with their line manager. Care workers felt they were supported by the management of the home.

Rating at last inspection: At the last inspection the service was rated Good. (report published 15 June 2017)

Why we inspected: The inspection was brought forward after we received information of concern relating to the care provided at the home.

Enforcement: We have identified breaches in relation to Need for Consent (Regulation 11), Safe Care and Treatment (Regulation 12) and Good Governance (Regulation 17). Please see the action we have told the provider to take at the end of this report.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk