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Heathcotes Chesterfield (Loundsley House) Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 19 February 2020

About the service

Heathcotes Chesterfield (Loundsley House) is a residential care home for people with learning disabilities, and/or autism and complex mental health needs. The care is provided in a purpose-built home for 8 people. There were 7 people living at the home at the time of our inspection.

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

The outcomes for people using the service didn’t reflect the principles and values of Registering the Right Support. Choice and control were not central to support provided and some people had not consented to interventions used to protect them. The least restrictive options were not always used to protect people from harm. Risk was not managed to ensure staff received up to date guidance in supporting people. When incidents occurred they were not fully reviewed to learn from them and reduce the risk of recurrence. Staff had not received adequate training to support people with complex health needs.

Assessments were not always in line with best practise guidance and some plans were not in place to direct staff; for example, how to support people with their diet in a positive way. This increased the risk that they were not always receiving care and support which met their preferences. Some people had communication systems in place and others were being developed although it was taking a prolonged time.

The provider did not have adequate oversight of the home despite an internal review noting there were significant improvements required. Staff were working consecutive days without a break leading to low morale. They did not have confidence in the responsiveness of the provider. There had been limited improvements since our last inspection.

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 requires improvement (published 7 March 2019)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement:

We have identified breaches in relation to risk management, safeguarding people from harm, staffing levels and support, consent to care and good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Inspection areas

Safe

Inadequate

Updated 19 February 2020

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 19 February 2020

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 19 February 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 19 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 19 February 2020

The service was not well-led.

Details are in our well-Led findings below.