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Heatherington House Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 7 March 2019

This inspection took place on 28 November 2018 and was unannounced. At the last inspection we rated the service Good. At this inspection we found improvements had been made and we rated the service Outstanding.

Heatherington House is a ‘care home’ specialising in supporting people with Prader-Willi syndrome (PWS) and learning disabilities. 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. PWS is a condition where people have a chronic feeling of hunger that can lead to excessive eating and sometimes life-threatening illnesses.

The home was a spacious three-story building located near to a small town centre which people could access as they wished.

The care service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance, with the exception that the home accommodated more than six people. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen and the staff within this service were exceptional in ensuring this was the case for people living at this home.

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.

Without exception, people were supported to achieve their goals. The staff and management team were creative, committed and determined to support people to live independent lives and challenge the barriers around supporting people with PWS.

People were supported to complete major achievements, relevant to each person’s individual wishes. People were supported to manage their weight and food choices with sensible decision making and this had seen huge benefits to people’s health and wellbeing. People were educated about food choices and activity levels and had lots of control and opportunities to be around vast quantities of food.

People had developed strong links with local leisure facilities and other amenities in the community which further helped enable people’s independence and manage their vulnerabilities. People were proud of the progress they had made at Heatherington House and valued the experiences and progress they had made.

People had seen huge benefits to their health and activity levels. People had made significant progress and they, and the staff, were immensely proud of what they had accomplished. People had better lives and were supported to try a variety of new experiences.

People were fully involved in ensuring the home they lived in was safe, taking responsibility for key elements of the running of the home. Staff supported people to learn about safety issues, such as fire risks and how this could be managed safely if unexpected events occurred.

People were encouraged and supported to take risks and grow in confidence and their abilities to manage situations independently. The staff prepared and educated people so they could be as independent as possible for each person whilst out in the community.

People were involved in staffing decisions and of the recruitment of new staff. Staff skills were considered alongside the people that lived at the home to bring out the best in people and encourage them to try new things and take greater responsibility wherever possible.

The registered manager challenged stigma and stereotypes and ensured that people with Prader-Willi Syndrome (PWS) were not disadvantaged or treated differently because of their condition. Staff followed the lead of the registered manager and ens

Inspection areas

Safe

Outstanding

Updated 7 March 2019

The service has improved to outstanding.

People were empowered and educated to understand how they could keep themselves safe within the home, and in the wider community. Discrimination and stereotyping was challenged and people were involved in ensuring the staffing team met their needs.

Effective

Outstanding

Updated 7 March 2019

The service has improved to outstanding.

The outcomes for people at Heatherington House were significant, particularly with improving people�s health and their behaviours around food. People�s protected characteristics were embraced and the staffing team were trained to have strong skills and knowledge to support the people at the home.

Caring

Outstanding

Updated 7 March 2019

The service has improved to outstanding.

People consistently provided high praise and recognition for the commitment and caring approach of staff. People�s privacy was respected and encouraged and staff went the extra mile to ensure people could have the relationships they wished to maintain.

Responsive

Outstanding

Updated 7 March 2019

The service remains outstanding.

Well-led

Outstanding

Updated 7 March 2019

The service has improved to outstanding.

The registered manager was truly respected and admired by people, staff and other professionals involved with the home and had been recognised nationally for their approach. The ethos within the home consistently put people at the heart of every decision and ensured that people�s lives were the best they could be.