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Heathfield (Horsham) Limited Good

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Inspection report

Date of Inspection: 18 April 2013
Date of Publication: 24 May 2013
Inspection Report published 24 May 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 April 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

When we inspected this service in September 2012 a compliance action was set because the lack of detailed care planning placed people at risk of inappropriate and inconsistent care. At this inspection we found that steps had been taken by the provider and the compliance action was met.

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

We looked at the care records for three people.

Each person had a care plan, daily records and monitoring records. Care plans were available for the identified needs of each person. They gave staff information about the actions they needed to take to make sure people got the care they required.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

We saw evidence of the use of risk assessment tools for falls, nutrition, mobility and pressure sores. We saw that care plans were developed to minimise identified risks. For example, we saw a care plan for a person identified as having a high risk of developing pressure sores. The actions included the use of a pressure relieving mattress, which we saw in use.

Records showed that people were weighed regularly to monitor their nutritional well being. The records we looked at showed people had sustained their weight or gained some since their admission.

There were 29 people using the service at the time of our inspection. We spent time in the lounge and dining room observing people’s experience. We spoke with eight people using the service and one of their relatives. We saw that some people chose to sit in the lounge while others preferred to spend time in their room. One person told us, “I can come and go as I please around the place.”

The people we saw had been effectively supported to maintain their personal appearance. One person told us that staff helped her to choose "matching clothes" when she got dressed each morning. We saw that people wore clothing appropriate for the time of year and were dressed in a way that maintained their dignity. We observed personal hygiene needs were supported. For example, people’s fingernails were trimmed and clean, men were clean shaven and people’s hair was clean and groomed.

The eight people we spoke with were satisfied with the service they received. Their comments included,

“It’s very good. They do everything I need.”

“They’re pretty good at answering the call bell.”

Records in people's care files demonstrated they were supported to access other health care professionals such as GP, optician, dietician, speech and language therapy and chiropodist. There was evidence that staff were observant of changes in people’s health and made appropriate referrals to other health professionals. The care plans for one person with a specific medical problem contained sufficient detail to make sure staff monitored their condition effectively to promote their health.