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Heathfield (Horsham) Limited Good

All reports

Inspection report

Date of Inspection: 21 September 2012
Date of Publication: 18 October 2012
Inspection Report published 18 October 2012 PDF

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

Not met 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

Our judgement

People experienced care, treatment and support that met their needs however the lack of detailed care planning places people at risk of inappropriate and inconsistent care.

The provider is not meeting this standard. We judged that this had a minor impact on people using the service and action is needed for this essential standard.

User experience

The people that we spoke with were all positive about the care that they received at the home.

One person said, “Staff always come straight away when I call for help”.

Another person said, “I couldn’t ask for better care”.

Another person said, “I am very happy here, I like the staff and I am able to choose what I want to do”

Another person said, “I cannot find fault with the staff, they are always cheerful and helpful”

One person told us that they enjoy the entertainment in the home. We were told that this had included a regular visit from a musician, board games and quiz activities.

Another said that the food was very good, there was plenty to choose from and staff respected their choices.

A relative told us that they home has been very supportive and responded promptly to the changing needs of their family member.

Other evidence

We looked at the records for four people who use the service. Each record contained assessment document which detailed the needs of each person. We were told that a plan of care would be written involving both the person and if appropriate a family member or a representative. The records we looked at confirmed that people had been involved in planning their care and support.

We looked at four care records during our visit. We saw that peoples’ needs were assessed and care and treatment was planned but there was little detail in describing the actions staff should take to meet the identified needs.

For example all records we saw identified if the individual was at risk of falls. We saw a record of falls and this was up to date but there was no documented plan of action to reduce the risk and support the person.

The deputy manager told us that the cause of one person’s falls had been indentified and there were certain times that the risk was increased however the plan did not contain this information. This meant that the plan did not make proper provision for the delivery of safe and appropriate care.

During our inspection we observed that bed rails were in use for people. The deputy manager confirmed this. When we looked at the record for one person who used this safety equipment we found no risk assessment or plan of care to reflect the use. The deputy manager told us that none of the people who use this equipment had a risk assessment or an assessment of capacity in relation to the decision to use such equipment. This means that the person is at risk of inappropriate or unsafe care.

Plans contained risk assessments for moving and handling, pressure care and malnutrition. We saw information on how to support people with eating and drinking.

There was evidence in the care records we looked at that demonstrated they had been reviewed and updated each month. At the time of our visit to the home the deputy manager was in the process of reviewing two of these records.

We observed residents and staff interacting in a positive manner. Staff were attentive to residents needs. We saw that residents appeared to be relaxed and comfortable in their surroundings.