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Heathcotes Wendover House Good

Reports


Inspection carried out on 9 December 2019

During a routine inspection

About the service

Heathcotes Wendover House is a residential care home providing accommodation and personal care to five people, with one person on extended leave at the time of the inspection. The service can support up to seven people.

The service accommodates people in one adapted building. The service is set over two floors with three bedrooms on the ground floor and four bedrooms on the first floor. All the bedrooms have an ensuite shower with access to a bathroom for people who like to have a bath. The service has a small sitting area at the front of the property with a larger sitting room at the rear. There is a kitchen/ diner, laundry room and a rear enclosed garden.

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 receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People and relatives felt safe care was provided. They acknowledged the new manager had made positive changes and new staff had been appointed, They found the new manager approachable and felt issues they had raised were or had been addressed. However, they felt there was still a lack of continuity of care and that communication between them and the organisation could be improved.

Systems were in place to safeguard people and risks to them were identified and mitigated. Safe medicine practices were promoted. Accident and incidents were recorded and reviewed to promote learning and prevent reoccurrence. Staff were suitably recruited. The service had a number of people on one to one staff support throughout the day and two to one staff support in the community. The rotas showed the required staffing levels were maintained through the use of their own staff, agency staff and staff from other services run by the organisation. They tried to use regular agency staff to promote continuity of care but the use of agency and staff from other services meant continuity of care was not always maintained. The provider was actively recruiting into the vacancies and two staff had been appointed subject to clearance.

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. People’s health and nutritional needs were identified. The menus viewed were not varied. We have made a recommendation to address this.

Staff were inducted, trained and supervised. The training and supervision matrices showed gaps in training and supervision. This had been identified by the manager and was being addressed.

Staff were observed to be kind, caring and had positive relationships with people. They promoted people’s privacy and dignity. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. The service was working towards providing people with opportunities for them to gain new skills and become more independent.

People had person centred care plans in place. Individual activities were encouraged. Their communication needs were identified and promoted. Systems were in place to enable people and their relatives to raise concerns

Inspection carried out on 5 September 2018

During a routine inspection

This was an unannounced inspection which took place on 05 September 2018.

Heathcotes Wendover House is a care home (without nursing) which is registered to provide a service for up to seven people with learning disabilities. There were five people (including a person who was in hospital) living in the home on the day of the inspection. Some people had associated difficulties such as being on the autistic spectrum and needing support with behaviours.

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection.

Heathcotes Wendover House accommodates people in a large adapted building. Everyone had an en- suite bath or shower room. The service was run in line with the values that underpin the ‘’registering the right support’’ and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism can lead as ordinary a life as any citizen.

The service was registered on 08 August 2017 and this was the first inspection.

People were protected from abuse. Staff training in safeguarding people was provided and annual refreshers were planned to be provided. Staff fully understood their responsibilities with regard to people’s safety and knew what action to take if they identified any concerns. The service identified health and safety, safe working practices and individual risks to people. All aspects of safety were considered and actions were taken to assist people to remain as safe as possible.

People were supported by high staffing ratios which enabled staff to meet people’s specific needs, including any relating to diversity and/or special needs, safely. Recruitment systems made sure, that as far as possible, staff recruited were safe and suitable to work with people. People were supported to take their medicines, at the right times and in the right amounts by staff who were trained and competent to do so.

People were offered effective care by an appropriately trained staff team. They met people’s diverse needs including their current and changing health and emotional well-being needs. The service worked with health and other professionals to ensure they offered individuals the best care they could.

People were assisted to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The staff team were caring, patient and committed to meeting people’s complex needs with kindness and respect. They ensured they promoted people’s privacy and dignity and communicated with them effectively.

The service was person centred and responsive to people’s diverse, individualised needs and aspirations. Activity programmes met people’s needs, preferences and choices and were further improving to become more varied and imaginative.

Care planning was individualised and regularly reviewed which ensured people’s current needs were met and their equality and diversity was respected. The service was not always responsive to people’s family and friends and did not always identify and respond appropriately to complaints.

The service had a registered manager who was registered on 27 July 2018. This was the fourth manager since registration which had contributed to some instability in the service. The quality of care the service provided was assessed, reviewed and was being improved as the service stabilised. The management team did not tolerate any form of discrimination relating to staff or people who live in the service.