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Heathcotes (Moulton) Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 April 2020

About the service

Heathcotes (Moulton) is a residential care home providing personal care for up to six people in one adapted building. It provides support to people who have learning disabilities and or autism, mental health needs, physical disability or sensory impairment. At the time of our inspection, there were four people living at the home.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

The provider's quality assurance systems and processes were not always effective at identifying concerns and driving improvement in the service.

Staff were not consistently deployed to provide people with appropriate support. There was a risk people would not receive care that met their needs and staff felt under pressure. Staff were not able to take sufficient rest breaks while working.

Staff received training when they started work with the service. However, training had not always been refreshed at the timescales identified by the provider.

Safe recruitment procedures were followed.

People were supported to eat a balanced diet that met their needs and any associated risks were managed with appropriate specialist input. Staff worked effectively with community health and social care professionals to achieve positive outcomes for people and ensured their health needs were met.

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

Staff knew the people they supported well and adopted a caring approach towards their work. People were treated with dignity and respect.

People's care plans were individual to them, covered key aspects of their care needs and promoted a person-centred approach. People had support to participate in a range of social and recreational activities.

People and their relatives understood how to raise any concerns or complaints with the provider.

The management team promoted effective engagement with people, their relatives and staff. Staff felt well-supported and valued by the registered manager, but low staffing levels had affected staff morale in the service.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 26 June 2018).

Why we inspected

The inspection was prompted in part due to concerns received about the quality and safety of the care provided to people. A decision was made for us to inspect and examine those risks.

Enforcement

We have identified breaches in relation to staffing and the governance of the service at this inspecti

Inspection areas

Safe

Requires improvement

Updated 29 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 29 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 29 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 29 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 29 April 2020

The service was not always well-led.

Details are in our well-led findings below.