25 July 2023
During an inspection looking at part of the service
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support: People were being supported by staff to pursue their interests and to achieve their aspirations and goals. People told us their quality of life had improved since the last inspection. One person said, “I go out more now, it’s much better.” Improvements in the quality of risk assessments and care plans meant staff had the information they needed to support people effectively.
Right Care: The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People were benefitting from a more personalised approach since the last inspection. Staff told us they could spend more time with people.
Right Culture: The service enabled people, and those important to them, to work with staff to develop the service. Staff valued and acted upon people’s views. The registered manager was working with staff to develop an enabling culture based on best practice for supporting people with learning disabilities and/or autism.
The registered manager had implemented a service improvement plan to make changes following the last inspection. New systems were in place and progress was evident, but it was too soon to say improvements were fully embedded and sustained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was inadequate (published 6 June 2023) and there were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 5 June 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook this focussed inspection to check whether the Warning Notices we previously served in relation to Regulations 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well- led which contain those requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Highviews on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.