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Heathcotes (Park View) Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Heathcotes (Park View). We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 May 2020

Heathcotes (Park View) is a residential care home providing personal care for up to five people in one building. It specialises in supporting people who have learning disabilities and or autism. At the time of our inspection, there were three people living 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 live in the home 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 living in the home 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

People were unable to verbally communicate with us during the inspection, so we observed care.

The environment did not always meet people’s needs or support their independence. The provider’s staff shifts had not always allowed staff to take scheduled breaks.

People's relatives told us they thought their relative was safe at the home. Staff at the home knew people's individual risks, however some improvements were needed in relation to staff evidencing their understanding and their implementation of these. Environmental risk management and infection control procedures were sufficient.

All staff had received induction and mandatory training. Training had been refreshed at the timescales identified by the provider.

Safe recruitment procedures were followed, however the recruitment rationale for recruiting staff with little or no experience of working with people with complex needs had not been evidenced.

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 interest. Policies and systems were in place and staff practice did follow policy in relation to the recording of mental capacity assessments and administration of Deprivation of Liberty safeguards (DoLS).

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 some 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 and their relatives. Staff felt supported. People were encouraged to express their views about the care provided, and these were listened to.

Quality assurance systems and processes were now in place, driving improvements, although improvements needed to be sustained, to ensure these are fully embedded into staff’s daily practice. Organisational oversight of the home’s environment needed to improve, to ensure it met people’s needs.

Rating at last inspection

The last rating for this service was requires improvement (published 17 April 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of these regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the home until we return to visit as pe

Inspection areas

Safe

Requires improvement

Updated 8 May 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 8 May 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 8 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 May 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 May 2020

The service was not always well-led.

Details are in our well-Led findings below.