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Inspection Summary


Overall summary & rating

Good

Updated 7 September 2017

Heathlands provides accommodation, personal care and support for up to six adults who have a learning disability. There were five people living at the home at the time of our inspection. The service is managed by Avenues South East and the property is owned by Southern Housing Group Ltd.

This inspection was carried out on 1 August 2017 and was unannounced.

There was a registered manager in place, who had taken up their post since our last inspection. 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 7 April 2016 we identified three breaches of the Health and Social Care Act 2008 Regulations. People were not always supported to eat safely. Staff did not follow the guidance put in place by a speech and language therapist regarding one person’s meals. People's changing needs were not always responded to in a timely manner. One person's behaviour had changed significantly but guidance for staff on how to support the person had not been reviewed or updated. There was insufficient managerial oversight of the home and records were not well organised.

Following our last inspection, the provider sent us an action plan setting out how they intended to make improvements and meet the regulations.

At this inspection we found the provider had taken action to address these concerns and to meet the relevant regulations.

People were supported to eat safely. People who had needs related to eating and drinking had been reviewed by a speech and language therapist since our last inspection. Staff were knowledgeable about the revised guidelines put in place by the speech and language therapist and followed these when supporting the person during our inspection. People were supported to eat food they enjoyed and were encouraged to maintain a healthy diet.

There were guidelines in place for staff about how to provide the care and support people needed. Where necessary, referrals had been made to health and social care professionals to ensure that appropriate guidance was provided to staff.

The management oversight of the home had improved. Relatives and advocates told us the registered manager provided good leadership for the home and staff told us the registered manager had improved the support they received. The registered manager also managed another of the provider’s registered care homes but demonstrated that this did not diminish their ability to manage Heathlands effectively. Records were well organised, up to date and stored confidentially where necessary.

People were safe because staff understood any risks involved in their care and took action to minimise these risks. There were sufficient staff on each shift to keep people safe and meet their needs. Staff understood their roles in keeping people safe and protecting them from abuse. The provider carried out appropriate pre-employment checks before staff started work.

Medicines were managed safely. Accidents and incidents were recorded and reviewed to ensure any measures that could prevent a recurrence had been implemented. Staff maintained a safe environment, including appropriate standards of fire safety. The provider had developed plans to ensure people would continue to receive care in the event of an emergency.

People’s care was provided by staff who knew their needs well and provided support in a consistent way. Staff had access to the induction, training and support they needed to do their jobs.

People’s care was provided in line with the Mental Capacity Act 2005. Staff supported people to make decisions and respected their choices. Where people did not have the capacity to make decisions, relevant people had been involved in making the decision in the

Inspection areas

Safe

Good

Updated 7 September 2017

The service was safe.

There were enough staff deployed on each shift to keep people safe and meet their needs.

People were protected from avoidable risks.

Staff understood safeguarding procedures and knew what action to take if they had concerns about abuse.

People were protected by the provider’s recruitment procedures.

There were plans in place to ensure that people would continue to receive care in the event of an emergency.

People’s medicines were managed safely.

Effective

Good

Updated 7 September 2017

The service was effective.

People received consistent care from staff who knew their needs well.

Staff received appropriate training and support to meet people’s needs.

People’s care was provided in line with the Mental Capacity Act 2005 (MCA).

People’s nutritional needs were assessed and individual dietary needs were met. People enjoyed the food provided and could choose what they ate.

People’s healthcare needs were monitored effectively. People were supported to obtain treatment when they needed it.

Caring

Good

Updated 7 September 2017

The service was caring.

People had positive relationships with the staff who supported them.

Staff treated people with respect and maintained their privacy and dignity.

Staff supported people in a way that promoted their independence.

People were encouraged to be involved in planning their care.

Responsive

Good

Updated 7 September 2017

The service was responsive to people’s individual needs..

People’s care plans contained information about how they preferred their support to be provided.

Staff were aware of people’s individual needs and preferences and provided care in a way that reflected these.

Staff responded well when people’s needs changed.

People had opportunities to take part in activities that they enjoyed.

People knew how complain and felt confident they would be listened to if they had any concerns.

Well-led

Good

Updated 7 September 2017

The service was well led.

People, their relatives and staff had opportunities to contribute their views about the home.

Staff were well supported by the registered manager.

Team meetings were used to ensure people received consistent support and to reinforce important messages about practice.

There were systems in place to monitor the quality of the service and to address any issues identified.

Records relating to people’s care were accurate, up to date and stored appropriately.