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Inspection Summary


Overall summary & rating

Good

Updated 24 October 2017

Heathcotes (Knollbeck) is registered to provide accommodation for up to six people who require personal care. The home provides a service for people who have a learning disability. At the time of the inspection there were six people living in the home.

The last inspection took place in July 2015 the service was rated as 'Good'. At this inspection we found the service remained 'Good'.

Systems were in place to manage risks to people living at the home and to keep them safe. All the people, professionals and staff we spoke with said they thought Heathcotes (Knollbeck) was safe. Staff had completed training in how to protect people from harm and abuse and understood the different forms and potential signs of abuse. Staff told us they had confidence in the management team to deal with safeguarding issues promptly and effectively. Medicines were managed safely to ensure people received them in accordance with their health needs and the prescriber's instructions.

There was sufficient numbers of staff on duty to safely assist and support people. The recruitment and selection procedure ensured that only suitable staff were recruited to work with people living at the home. Staff were well supported through a system of induction and training. Staff told us the training was thorough and gave them confidence to carry out their role effectively.

The registered manager and staff understood the requirements of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). People were supported to have choice and control over their lives as much as possible. Staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice.

People's needs were assessed, so that their care was planned and delivered in a consistent way. The registered manager and care staff were knowledgeable about the people they supported and knew their care needs well. Staff offered people choices and these were respected and actioned by staff.

People were treated with kindness, compassion and respect. Staff demonstrated they had an excellent knowledge of the people they supported and were able to appropriately support people without limiting their independence. Staff consistently spent time speaking with the people they were supporting. We saw many positive interactions and people enjoyed talking to and interacting with staff.

People had regular routine access to health and social care professionals where necessary. People attended health checks with a GP and had access to other medical services to ensure their health needs were met. Professionals told us there was appropriate communication between the service and themselves.

People had a choice of how they spent their time and the activities they undertook. Meals, snacks and drinks were chosen by people, which they enjoyed. People had been included in planning their own menus and their feedback about the meals in the service had been listened to and acted upon. Some people were actively involved in meal preparation.

The service had clear complaint systems and people had regular opportunities to discuss how they felt about the service.

People had individual support plans, detailing the support they needed and how they wanted this to be provided. Staff reviewed plans at least monthly with input from the person who was supported. Professionals told us they were kept informed of changes to people’s support plans and were regularly invited to review meetings.

There was an effective quality assurance system in place to monitor key areas such as medicines, safeguarding concerns, accidents, incidents and staffing issues. People were consulted about how they wished their care to be delivered and their choices had been respected. People, their relatives and staff were provided with the opportunity to give their feedback about the quality of the service provided.

Inspection areas

Safe

Good

Updated 24 October 2017

The service remains Good.

Effective

Good

Updated 24 October 2017

The service remains Good.

Caring

Good

Updated 24 October 2017

The service remains Good.

Responsive

Outstanding

Updated 24 October 2017

The service remains Outstanding.

Well-led

Good

Updated 24 October 2017

The service remains Good.