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Heath Farm House Care Centre Inadequate

Inspection Summary

Overall summary & rating


Updated 2 July 2021

About the service

Heath Farm House Care Centre is a care home, providing personal and nursing care for up to 10 people living with complex mental health conditions and or learning disabilities. At the time of the inspection, seven people were receiving care. The service has been set up collaboratively with the local authority to reduce the risk of delayed discharge from hospital or for those who require hospital avoidance due to deterioration in their mental health and wellbeing. The service provides short term, residential support.

People’s experience of using this service and what we found

We identified significant concerns in relation to the safe running of the service, which raised questions about the standards of care being provided. There was a lack of managerial and provider level oversight, which had resulted in multiple incidents including safeguarding concerns, which had not been handled in line with their own policies and procedures, to maintain people’s safety and wellbeing.

People told us they sometimes felt unsafe living at the service, and would spend time in their bedrooms, rather than in communal areas to alleviate those feelings. We identified concerns in relation to infection, prevention and control standards at the service, which was of concern as the service was inspected during a national lockdown.

The provider had not implemented enough changes to practice and approach to ensure that people received good standards of care and support and was reinforced by repeated and new breaches of regulation being identified at this inspection.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. At the last inspection, it was identified that the service did not fully meet the requirements to meet the needs of people with autism and learning disabilities in line with best practice guidance.

Following the last inspection, the decision was made to close the service and support people to move to more suitable alternative accommodation. However, in consultation with the local authority, the decision was made to alter the purpose of the service. As an outcome, the service was being refurbished at the time of our inspection visit, but the size, layout and suitability had not changed to be more in line with right support, right care, right culture as set out in the guidance. Whilst most people living at the service had complex mental health support needs, there remained people living at the service with autism and learning disabilities.

Right support:

• Model of care and setting maximises people’s choice, control and independence

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives

Rating at last inspection

The service was rated requires improvement with breaches at the last inspection, completed 17 October 2019, published 09 January 2020.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations.

Why we inspected

We received concerns in relation to management changes, staffing levels and training, and received anonymous whistleblowing concerns. There had also been a serious incident that had happened a few days prior to our site visit. As a result,

Inspection areas



Updated 2 July 2021

The service was not safe.

Details are in our safe findings below.


Requires improvement

Updated 2 July 2021



Updated 2 July 2021


Requires improvement

Updated 2 July 2021



Updated 2 July 2021

The service was not well-led.

Details are in our well-Led findings below.