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Heathcotes (Ashbrook House) Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 September 2019

Heathcotes (Ashbrook House) is a care home service without nursing. The home provides accommodation for persons who require nursing or personal care. The home can accommodate up to six older adults with learning disabilities in one adapted building. At the time of the inspection three people were receiving care at the home.

The home 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

Quality assurance processes undertaken by the provider were not robust and failed to ensure that the required standards of quality and safety were being met consistently. Feedback from people and staff was not acted on to drive continual improvements in the service.

Documents relating to the use of physical restraint were not robust and provided poor oversight into the physical intervention.

People’s care plans included assessments of risks associated with their care. Staff had not always followed the risk assessments to ensure people received safe care. Staff knew how to respond to and report any concerns about people’s safety and well-being.

People were supported by staff that knew how to keep them safe and knew how to raise any concerns regarding people’s safety with the provider and the relevant safeguarding body and the Care Quality Commission (CQC).

People were supported to stay healthy. Staff encouraged people to live healthier lives, encouraged healthy eating and supported people to attend all medical appointments. Staff were committed to enabling people to socialise and develop and maintain relationships.

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.

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.

People were supported by sufficient numbers of staff that were safely recruited to meet their needs. Staff supported people to take their prescribed medicines safely. Staff followed good practice infection control guidelines to help prevent the spread of infection.

People were supported by staff who had the right skills and knowledge to provide care that met people’s assessed needs. Staff were alert and responsive to changes in people's needs. They liaised with relatives and health professionals in a timely manner which helped to support people's health and well-being.

Policies, procedures and other relevant information was made available to people in formats that met their communication needs, such as easy read and picture styles.

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 13/03/2018).

Why we inspected

The inspection was prompted in part by notification of a specific incident. Following which a person using the service died. This incident is subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the incident.

The information CQC received about the incident indicated concerns about the management of choking and risk assessments. This inspection examined those risks.

We have found evidence th

Inspection areas

Safe

Requires improvement

Updated 24 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 24 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 24 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 September 2019

The service was not always well-led.

Details are in our well-Led findings below.