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Inspection Summary


Overall summary & rating

Good

Updated 23 January 2018

Heathcotes (Kirklands) is a ‘care home’. 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. Heathcotes (Kirklands) is an adult service providing support for up to six people living with a learning disability or autistic spectrum disorder, mental health and physical disabilities in one adapted building.

This inspection took place on 1 and 8 November 2017 and was unannounced. Our last inspection took place on 23 November 2015 when the service was overall rated as 'Good' but rated ‘Requires Improvement’ in the Well-led domain. At this inspection we found the service remained ‘Good’ overall and was now rated ‘Good’ in all domains.

At the time of our inspection, there was a registered manager in post.

Staff had undergone safeguarding training and had access to policies and guidance to enable them to safeguard people from abuse.

People had detailed and comprehensive risk assessments in place which were actively reviewed with them to ensure they remained up-to-date and relevant. Staff understood how to respond to emergencies when they arose.

A high level of staffing had been maintained for the number of people who used the service. People were safe as they were cared for by staff whose suitability for their role had been assessed by the provider.

People received their medicines safely from trained staff who were provided with relevant guidance about the administration of people's medicines.

Staff received a comprehensive induction to their role. People were supported by staff who were offered a range of training opportunities relevant to their role to ensure they could support people effectively. Staff were well supported within their role through the supervision process.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were encouraged to eat a balanced diet and healthy eating was promoted. People were encouraged where possible to be independent in the kitchen.

Staff we spoke with were knowledgeable about people's healthcare needs and people received professional support when required.

Staff were observed to be respectful of people's wishes. People's needs in relation to their privacy and dignity had been met.

People were provided with a pre-assessment prior to moving into the service. People had support making their personalised plans.

People were able to access a range of activities both on-site and in the community. People were encouraged to retain or develop their levels of independence.

There was a clearly defined management structure and staff understood their roles and responsibilities. There was an open and transparent culture within the service.

People had been involved in quality assurance processes and their feedback had been used to make improvements to the service. People's complaints were investigated, responded to and any required actions taken.

Various aspects of the service were audited regularly. The results of audits had been used to improve the quality of the service people received.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 23 January 2018

The service remains safe.

Effective

Good

Updated 23 January 2018

The service remains effective.

Caring

Good

Updated 23 January 2018

The service remains caring.

Responsive

Good

Updated 23 January 2018

The service remains responsive.

Well-led

Good

Updated 23 January 2018

The service was well-led.

There was an open and transparent culture within the service.

There was a clearly defined management structure for the service which was well-led by the registered manager.

Processes were in place to audit and monitor the quality of the service provided and to drive service improvement for people.