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Heathercroft Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 May 2019

About the service:

Heathercroft Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Heathercroft is set in its own grounds in the Woolston area of Warrington. The registered provider is Ashberry Healthcare Limited.

The home is registered to provide nursing and personal care for up to 88 older people. There are currently two units within the home: Heathercroft unit for people with nursing and personal care needs and Ashberry unit for people living with dementia. On the day of our inspection there were 74 people living in the home.

People’s experience of using this service:

People who used the service were happy about the service being delivered to them. We received mixed comments from relatives regarding staffing levels, use of agency staff, activities and care charts not always being completed.

Staff noted they had on-going problems with the recording and managing of their electronic system for ordering and recording of medications. We identified a breach of regulation regarding safe care and treatment and management of medications.

Support plans described the support people needed. People were referred to appropriate health and social care professionals when necessary. However, we found various issues with the lack of accurate updates regarding people's records which created risks in managing accurate care planning. We identified a breach of regulation regarding to good governance.

Quality assurance processes were detailed and regularly carried out to show actions and improvements to the service in the last 12 months. However on-going concerns regarding poorly maintained records and staff competencies to improve records continued to be an issue highlighted by both the local authority contracting team and within the inspection. There was a continued breach of regulation relating to good governance.

Staff were knowledgeable of local safeguarding procedures. The service had learnt from recent safeguarding incidents however improvements were still needed in the recording and delivery of care to those people cared for in their bedroom.

Health and safety systems provided regular oversight and support to consistently manage safe processes at the service. We noted some areas of wear and tear that the registered manager advised was part of their ongoing maintenance and decorating programme.

The home was clean and staff used appropriate techniques to prevent the spread of infection. One room had an unpleasant smell and staff took action to improve this room.

Staff and visiting members of multidisciplinary teams noted improvements to the service since the registered manager commenced in post. Staff felt supported and listened to.

Staffing was supported by agency staff to cover for vacancies and sickness. The registered manager advised they were recruiting and advertising posts and had recently recruited a new activities organiser. People living at the service and visiting relatives were unsure how many staff they could expect to see on duty each day.

People told us they enjoyed the food and drink provided. We observed mealtimes and saw that people had a choice of meals. Mealtimes were noisy at times with staff busy in various departments and could be heard carrying out their work while dining room doors were left open.

We noted some personal records accessible and unlocked throughout the inspection to the ground floor office. This highlighted potential concerns about people being able to access confidential information.

We have made a recommendation that the service review storage of confidential information.

Rating at last inspection: Requires Improvement (published 25 May 2018).

Why we inspected: This was a planned inspection based on the previous rating. We had received information of concern prior to the inspec

Inspection areas

Safe

Requires improvement

Updated 18 May 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 18 May 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 18 May 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 18 May 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 18 May 2019

The service was not always well-led.

Details are in our Well-Led findings below.