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Inspection Summary


Overall summary & rating

Good

Updated 10 August 2018

This inspection took place on 12 June 2018 and was unannounced.

Heathfield house is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Heathfield House accommodates up to six people in one adapted building. At the time of the inspection there were six people living in the care home.

There was not a registered manager in post. The provider had a manager in post and it was their intention to register with us in the near future. 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.

At our last inspection on 2 December 2015 we found the service was rated good overall. At this inspection we found the service continued to be rated good overall, but some improvements were needed in Well Led.

We found systems in place to check on the quality of the service people received were not always effective and improvements were needed. Whilst the manager had systems in place to monitor the delivery of people’s care, changes to risk assessments were not always documented and medicines stock checks were not always effective in identifying concerns.

People were protected from abuse and risks were assessed and planned for to keep people safe. Premises and equipment were maintained to minimise the risk of infection. People were supported by sufficient safely recruited staff. Medicines were administered safely. The manager had systems in place to learn when things went wrong.

People’s needs were assessed and they had effective care plans in place. Staff were trained and people received consistent support. People were supported to make choices and their needs and preferences for food and drinks were met. The environment was adapted to meet the needs of people. People were supported to maintain their health and wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received support from staff that were kind and caring and staff had good relationships with people and their relatives. People had their communication needs assessed and care plans were in place which supported people to make choices and retain their independence. People were treated with dignity and respect

Inspection areas

Safe

Good

Updated 10 August 2018

The service remained good.

Effective

Good

Updated 10 August 2018

The service remained good.

Caring

Good

Updated 10 August 2018

The service remained good.

Responsive

Good

Updated 10 August 2018

The service remained good.

Well-led

Requires improvement

Updated 10 August 2018

The service was not consistently well led.

There were systems in place to monitor the service however these were not consistently identifying areas for improvement. The manager had systems in place to seek feedback from people. The manager understood their role and responsibilities for making notifications to CQC.