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The majority of people living with dementia were independently mobile or required some assistance from one care worker. Staff engaged with them in ways which reflected people's individual needs and understanding, ensuring people mobilised safely from a discreet distance. There were 25 people living at the home, and one person on a short stay. We looked at a selection of care records, and focussed on how people’s consent was gained by staff. We also looked at how people’s health and well-being was supported.
If you are looking for care, if you think a family member needs support, or if you want to know what services are available for carers, find the information you need in the pages below. Where people had no close family staff ensured they spent time with that person and took them out regularly. Relatives confirmed they were always made welcome and were able to visit at any time. People were able to see their visitors in communal areas or in private.
From Highlands Borders Care Home to the Grocery store
For more details - staff are happy to answer any of your questions about care. At other times we offer an answer phone service so please leave a message and we'll call you back. The Somerset Social Care and Support for Adults Guide explores the entire social care journey. If this is your business, you can claim it and manage the information shown to care seekers. Set up an account and claim your listing, to update your company name, address, telephone number and service information. – the service is performing badly and we've taken enforcement action against the provider of the service.
There was a lot of staff interaction and engagement with people, most of whom were living with dementia and unable to tell us directly about their experiences. At the time of the inspection people were mostly relaxing, chatting and playing games in the large, airy conservatory or sitting at tables in the open plan dining area. They looked comfortable and happy to spend time in the large conservatory. People were encouraged and supported to maintain their independence.
Guidance for providers
Our infection prevention and control inspections look at how well people using a service are kept safe from the spread of infections. Highlands Borders is a purpose build care centre over three floors, has 15 single rooms, all with en-suite facilities. It is accessible by a full size lift, the entire building, furniture, fixtures and soft furnishings has been refurbished to the highest standards for you to enjoy. The activity programmes are tailored towards people's choices and capabilities.
The profile score is a measure of how much information has been provided. Highlands Borders Care Home offers Dementia, Learning Disabilities & Autism, Older People (65+), Physical Disabilities and Younger Adults care. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them.
Ratings:
We provide a comfortable and homely environment for our residents with good food, regular activities and a home from home feel. If any information on this page is incorrect you can email the correct details to the local authority shown above. We think it’s important you have detailed, comprehensive information so that you can decide which care providers to shortlist. – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon.
Staff said they felt valued and always enjoyed coming to work. During the inspection people were enjoying a beanbag game, going out to town and chatting with staff about music and Valentines Day. Staff at the home had been able to build strong links with the local community including regular visits to the local church, pub, shops and memory café.
The home had quality assurance procedures in place to measure the standard of care in the home. • The home was being supported by the local authority to establish more effective quality assurance systems to assess, monitor and improve the safety and quality of the home. • Further consideration needed to be given to providing engagement in social and leisure activities for people living with dementia. If you would like a copy of the food safety officer's report for this business, you can request it from Exeter City Council.
Most people were unable to be directly involved in their care planning but the new manager had begun to meet with each person’s representative to discuss the new care plans. A copy of the care plan was then sent to the representative if they were happy to be involved. The manager said “It’s about getting it right for everybody.” There were regular reviews of people’s health and staff responded promptly to changes in need. One relative felt this had not been pro-active in the past but we found the new care plan format enabled staff to clearly monitor and identify changing need. People were assisted to attend appointments with appropriate health and social care professionals to ensure they received treatment and support for their specific needs. A health professional was visiting during our inspection and their advice was documented and actioned immediately.
We take great pride in the quality of care which we offer and the dedication and professionalism of our staff. Good standard of compliance with statutory obligations, industry codes of practice, and minor contraventions of food hygiene regulations. Some minor non-compliance with statutory obligations and industry codes of recommended practice.
Staff had clearly adopted the same ethos and enthusiasm and this showed in the way they cared for people. One staff member was moving further away but had wished continue to work at Highlands Borders “as it’s so lovely here”. The manager had taken into account travel time when organising their shifts to make this possible.
Other contact information will be on the authority's website. There was a management structure in the home which provided clear lines of responsibility and accountability. There had been a period of change but the manager felt his had settled since they started in January 2015.
Oak House provides care and accommodation for up to 11 people who have care needs due to dementia, older age or mental health problems. It cannot provide nursing care except through the local community nursing services. We carried out an unannounced inspection of Highlands Borders on 15 May 2017. Highlands Borders provides care and accommodation for up to 18 people who required accommodation and personal care. Nursing care can be provided through the local community nursing services if appropriate.
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