We inspected High Lee Care Home on 19 January 2017 and the visit was unannounced. Our last inspection took place on 2 June 2015 and at that time the service was meeting the regulations we looked at.

High Lee Care Home is a 17 bed service and is registered to provide accommodation and personal care for older people. Nursing care is not provided. The accommodation is arranged over two floors linked by a stair lift. There are 14 single bedrooms and one double bedroom all of the bedrooms have en-suite toilet facilities and one also has a shower. There is a communal lounges and a dining room for people to use on the ground floor. The home is located in Luddedenfoot, Halifax.

On the day of the inspection there were 13 people using the service. One person had moved out on the day of our visit.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

We found staff were being recruited safely and there were enough care workers to take care of people and to keep the home clean. Staff were receiving appropriate training and they told us the training was good. Staff told us they felt supported by the registered manager and care supervisor and were receiving formal supervision and appraisals where they could discuss their on-going development needs.

The service was exceptionally caring. People who used the service and their relatives told us staff were helpful, kind, attentive and caring. We saw people were treated with respect and compassion. They also told us they felt safe with the care they were provided with. We found there were appropriate systems in place to protect people from risk of harm.

Staff knew about people’s dietary needs and preferences. Meals looked appetising and any particular requests from people had been incorporated into the menu. We also saw there were plenty of drinks available and a ‘Sweet Shop’ and ‘Fruit Stand’ in the dining room where people could help themselves to anything they wanted.

Care plans were up to date and detailed exactly what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate any risks which had been identified. People who used the service and relatives told us they were very happy with the care and support being provided. We saw people looked well-groomed and well cared for.

People’s healthcare needs were being met and medicines were being managed safely.

We saw people who used the service were being provided with a highly individualised service. Staff knew about people’s lives and interests and used this information to engage with people and provide relevant activities. The registered manager was using innovative ways to get people who used the service to engage in activities and with the environment.

We found the service was meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS). Staff had an excellent understanding of the Mental Capacity Act and DoLS and were ensuring people’s human rights were being upheld.

Visitors said they were made to feel welcome and were kept fully informed about their relatives well-being.

There was a complaints procedure in place. The registered manager dealt with any concerns or complaints in line with their complaints procedure. They viewed this system as a positive way of making improvements to the overall service and to get things right for each individual.

We saw there were excellent systems in place to monitor the quality of the service. When areas for improvement had been identified action had been taken to address those shortfalls.

People who used the service were asked for their views and were able to influence the way the service was managed.

We carried out an unannounced comprehensive inspection of this service on 1 October 2014. We identified a number of breaches of regulation and said improvements were needed in care and welfare of people who use services, requirements relating to workers, management of medicines and supporting workers. We also said improvements had to be made to the assessing and monitoring the quality of service provision by 31 January 2015. This inspection resulted in an overall rating for the service of ‘Inadequate’.

The provider sent us an action plan telling us what improvements they were going to make and said these would be in place by 2 March 2015.

We undertook a focused inspection on 2 June 2015 to check improvements had been made. At this inspection we only looked at the regulations that had been breached on our last visit. We found improvements had been made.

This report only covers our findings in relation to these areas. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘High Lee Care Home’ on our website at www.cqc.org.uk’

High Lee Care Home is a 17-bed service and is registered to provide accommodation and personal care for older people. Nursing care is not provided. The accommodation is arranged over two floors linked by a stair lift. All of the bedrooms are singles and there are communal lounges and a dining room for people to use. The home is located in Luddedenfoot, Halifax. At the time of our visit there were 10 people using the service.

There are two registered managers at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

When we conduct comprehensive inspections, we report our findings under the five domains: Safe, Effective, Caring, Responsive and Well Led. All our findings from this inspection come within the Safe, Effective, Responsive and Well Led domains.

Staff recruitment practices had been strengthened and we found staff were being checked to make sure they were suitable and safe to work at the service.

We found medicines were managed safely and people received their medication at the right times.

We found staff were receiving appropriate training and were receiving support with their professional development.

We found had a number of audits had been put in place which picked up where improvements needed to be made or responded to people’s changing needs. We also found people using the service were being asked about what they wanted from the service and that their requests were being implemented.

We inspected High Lee Care Home on 19 January 2017 and the visit was unannounced. Our last inspection took place on 2 June 2015 and at that time the service was meeting the regulations we looked at.

High Lee Care Home is a 17 bed service and is registered to provide accommodation and personal care for older people. Nursing care is not provided. The accommodation is arranged over two floors linked by a stair lift. There are 14 single bedrooms and one double bedroom all of the bedrooms have en-suite toilet facilities and one also has a shower. There is a communal lounges and a dining room for people to use on the ground floor. The home is located in Luddedenfoot, Halifax.

On the day of the inspection there were 13 people using the service. One person had moved out on the day of our visit.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

We found staff were being recruited safely and there were enough care workers to take care of people and to keep the home clean. Staff were receiving appropriate training and they told us the training was good. Staff told us they felt supported by the registered manager and care supervisor and were receiving formal supervision and appraisals where they could discuss their on-going development needs.

The service was exceptionally caring. People who used the service and their relatives told us staff were helpful, kind, attentive and caring. We saw people were treated with respect and compassion. They also told us they felt safe with the care they were provided with. We found there were appropriate systems in place to protect people from risk of harm.

Staff knew about people’s dietary needs and preferences. Meals looked appetising and any particular requests from people had been incorporated into the menu. We also saw there were plenty of drinks available and a ‘Sweet Shop’ and ‘Fruit Stand’ in the dining room where people could help themselves to anything they wanted.

Care plans were up to date and detailed exactly what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate any risks which had been identified. People who used the service and relatives told us they were very happy with the care and support being provided. We saw people looked well-groomed and well cared for.

People’s healthcare needs were being met and medicines were being managed safely.

We saw people who used the service were being provided with a highly individualised service. Staff knew about people’s lives and interests and used this information to engage with people and provide relevant activities. The registered manager was using innovative ways to get people who used the service to engage in activities and with the environment.

We found the service was meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS). Staff had an excellent understanding of the Mental Capacity Act and DoLS and were ensuring people’s human rights were being upheld.

Visitors said they were made to feel welcome and were kept fully informed about their relatives well-being.

There was a complaints procedure in place. The registered manager dealt with any concerns or complaints in line with their complaints procedure. They viewed this system as a positive way of making improvements to the overall service and to get things right for each individual.

We saw there were excellent systems in place to monitor the quality of the service. When areas for improvement had been identified action had been taken to address those shortfalls.

People who used the service were asked for their views and were able to influence the way the service was managed.

During our visit to the service we spoke with seven people who lived at the home. These are some of the things they told us:

"I have no grumbles at all, they are really good"

"I'm a lot better now than I was before I came in here"

"We get really nice food and we can choose what we want"

"I really like my bedroom"

"All the staff are grand"

We saw that care delivery and care documentation was of a high standard. Staff demonstrated a good knowledge of the people who lived at the home. There was a nice atmosphere with genuine warmth between staff and the people who lived at the home.

We saw that people enjoyed a choice of good quality nutritious food and were offered drinks and snacks between meals. Systems were in place to make sure that medicines were managed safely and records were maintained and stored appropriately.

We spoke with four members of staff who told us that they enjoyed working at the home and felt they received the training and support they needed to do their jobs properly. We saw a supportive and respectful relationship between staff at all levels.

During our visit we spoke with five people who lived at the home and two members of care staff.

People who lived at the home told us that they were happy with the care and support they received. These are some of the things they said:

"I like it here, I'm very comfortable and the staff are very kind to me"

"I'm very satisfied"

"The food is very good"

"The staff are very helpful"

Both members of care staff we spoke with told us that they very much enjoyed working at the home. One person said it was the best place they had worked in a long career in care.

We found a very homely atmosphere and observed warm and friendly interactions between staff and the people living at the home.

People told us they like living at High Lee Care Home. They told us that the staff are kind and caring, there are activities on offer and the meals are good. People also told us that they like their rooms and the home is kept clean and tidy.