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Heathcotes (Erdington) Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 16 July 2020

About the service

Heathcotes (Erdington) is a residential care home providing personal care to five people under the age of 65 years, at the time of the inspection. The service can support up to eight people.

The service was registered with us prior to Registering the Right Support and other best practice guidance being introduced regarding the design of care homes for people with a learning disability. The principles and values that underpin this guidance reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

The service did not consistently apply the principles and values of Registering the Right Support and other best practice guidance. People using the service did not always receive person-centred support that was appropriate and inclusive for them.

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

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. The provider had policies and systems in place, but the staff did not always support this practice.

The service did not always apply the principles and values of Registering the Right Support and other best practice guidance. These ensure people who use the service can live as full a life as possible and achieve the best possible outcomes which include control, choice and independence.

People had been put at risk by the poor culture at the home. The providers' governance systems had not ensured people's safety, health and wellbeing were always protected. Poor record keeping meant not all incidents had been reviewed and monitored.

People had not been kept safe from harm and abuse. Staff had failed to ensure risks to people were always minimised. People required one to one and two to one staff support and there were not enough staff to ensure this happened.

Staff deployment did not facilitate safe support, as some staff did not have the skills to support people's specific needs. Not all people got their medicines as prescribed because they were not managed safely. The use of restraint was not always recorded and monitored to ensure it was appropriate.

Staff did not always treat people with respect. Some staffs attitude towards the people they cared for did not show they treated them as equals or involved them in their own care. People did not always receive person-centred care.

People were not supported to maintain a healthy diet and menu planning was not structured to ensure this happened. People's needs were assessed and holistic care plans put into place. However, people's compatibility with others already living at the home had not been fully considered. People's healthcare needs were not fully met because best practice for people with learning disabilities and autism were not always followed.

People's communication needs were assessed and staff knew how best to communicate with each person. The provider had complaints processes in place and most were dealt with at a local level. People's wishes for end of life care had started to be looked at and discussed with people and their immediate family.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 9 August 2019).

Why we inspected

The inspection was prompted in part due to concerns we received about inadequate staffing, people not being protected from abuse, inappropriate restraint being used and people not receiving care which was centred on them and their needs. A decision was made for us to inspect and examine those risks.

We found evidence the provider needs to make significant improvements.

Following our inspection and at our request, the provide

Inspection areas

Safe

Inadequate

Updated 16 July 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 16 July 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Inadequate

Updated 16 July 2020

The service was not caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 16 July 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 16 July 2020

The service was not well-led.

Details are in our well-Led findings below.