This was an unannounced inspection carried out on 28 and 29 January 2016 .Heyberry House provides personal care and accommodation for up to 41 older people. Nursing care is not provided. On the day of our visit, there were 36 people who lived at the home.
Heyberry House is a purpose built facility set in its own grounds in the area of Birkenhead, Wirral. The home is within walking distance of local shops and public transport. A small car park and garden are available within the grounds. The home is decorated to a good standard throughout with accommodation provided across three floors. A passenger lift enables access to the bedrooms located on the upper floors. All bedrooms are single occupancy with en-suite facilities. Specialised bathing facilities are also available on each floor. On the ground floor, there is a communal lounge, dining room and conservatory for people to use.
During the inspection we spoke with three people who lived at the home, three relatives, one visiting mental health professional, two care staff and the management team on duty during our inspection. The management team consisted of the care manager, the dementia care manager, the regional manager and the team leader.
There was a registered manager in post. 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.’ On the day of our visit, the registered manager was on annual leave so the management team assisted us with our visit.
People told us they felt safe at the home and they had no worries or concerns. Staff we spoke with were knowledgeable about types of potential abuse and what to do if they suspected abuse had occurred.
People who lived at the home were happy with the service provided and held staff in high regard. They said they were well looked after and that the staff were lovely. We saw that staff supported people in a compassionate and unhurried manner, enabling people to be as independent as possible. From our observations it was clear that staff genuinely cared for the people they looked after and knew them well.
People told us they were able to choose how they lived their life at the home for example, what time they chose to get up / go to bed, what they wanted to eat/drink and what they wanted to do during the day. Activities were provided to occupy and interest people and staff took the time to interact with people in addition to meeting their support needs. This promoted their well-being. Interactions between people and staff were warm and relaxed and there was a homely, social atmosphere throughout the home.
We saw that people who were able to make informed decisions about their care, were supported in their decision making by staff at the home, who liaised on their behalf with other healthcare professionals to ensure the person’s wishes were respected.
Some people required support to make informed decisions or choices and we found that the mental capacity act legislation had been followed to ensure people were supported as far as possible to be involved in any best interest decision making. This included ensuring people’s legal representatives were invited to and involved in any decision making alongside staff at the home and any other healthcare professionals.
Where applications to deprive people of their liberty in order to keep them safe, had been made to the Local Authority, the provider needed to ensure that an assessment of the person’s inability to keep themselves safe justified this decision.
People had access to sufficient quantities of nutritious food and drink. People we spoke with said they were satisfied with the choices and standard of the food on offer. People’s special dietary needs were catered for and people’s preferences were noted and acted upon.
We observed a medication round and saw that it was administered safely. Medication records were completed accurately and properly signed for. People told us they received their medication regularly and on time.
Staff records showed that staff had been recruited safely and that there were sufficient staff on duty to meet people’s health and welfare needs. Staff had received appropriate training to meet the needs of the people who lived at the home. Staff told us they felt sufficiently trained and well supported in their job roles. We observed that staff and management relations were positive and that the staff worked well as a team. We saw that team leaders were visible ‘on the floor’ and provided positive role models for staff in the day to day delivery of care.
We reviewed three care records. All of the care files we looked at were well organised and easy to follow. Care plans and risk assessments provided sufficient information on people’s needs and risks and were up to date. Staff had clear person centred guidance on how to meet people’s needs safely in accordance with their wishes. The staff we spoke with, were knowledgeable about people’s needs and how the person liked to be cared for. Records showed that the home took prompt action to ensure people received support from a range of professionals in relation to their health care needs as and when required. For example, doctors, dentists, district nurses, mental health teams and chiropody services.
The premises were safe, well maintained and clean. There were a range of quality assurance systems in place to assess the quality and safety of the service received and to obtain people’s views. For example infection control audits, medication and accidents and incidents audits were all undertaken and a satisfaction questionnaire was sent out to gauge people’s ‘satisfaction’ with the service provided. The results of the latest satisfaction survey were all positive.
The people, relatives and staff we spoke with during our visit told us that the home was well led, the staff were kind and treated them with respect and that they were happy with the service provided. People’s feedback during our visit included “Absolutely fabulous” and “Staff are fantastic”.