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Inspection Summary


Overall summary & rating

Good

Updated 31 August 2019

About the service

Heathcotes (Whitley House) is registered to provide care and accommodation for up to 6 people with learning disabilities, autism and associated complex needs. At the time of our inspection 6 people were living there.

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 received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

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

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with, or who might have, mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles. Where interventions were used the registered manager agreed to record where lessons could be learnt to reduce the likelihood an incident would occur again.

Everyone we spoke with was positive about the service. There was a relaxed and homely atmosphere. Staff had developed caring and trusting relationships with people. The service demonstrated exceptional positive outcomes for people which reflected the principles and values of Registering the Right Support. This included; supporting people to make their own decisions and choices to maintain independence and control of their lives. Improving people’s life experiences and accessing the right support at the right time to maintain positive outcomes for people’s health conditions. This had a positive impact on people’s wellbeing and mental health. People were offered opportunities to gain new skills and explore work and other interests.

Care plans contained detailed and relevant information about how to proactively meet people's needs. Staff were immediately informed of changes in people’s needs so that care was tailored and specific to each individual.

People enjoyed a range of activities and followed their hobbies and interests. Staff took time to understand things that were important to people such as, supporting them to build and maintain friendships and family relations.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People were provided with information they needed and were encouraged to be involved in all aspects of their care. Staff always asked for people’s consent before staff delivered care and support for them.

Systems were in place to safeguard people from abuse or harm, which included safe recruitment processes. Detailed risk assessments were in place and overall medicines were managed safely. Accidents and incidents were recorded appropriately.

Staff received regular training to enable them to deliver person centred care. This included additional training specific to people’s health needs and some was sourced from external health professionals.

People were encouraged to eat a

Inspection areas

Safe

Good

Updated 31 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 31 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 31 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 31 August 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 31 August 2019

The service was well-led.

Details are in our well-Led findings below.