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Heathcotes Enright Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 September 2019

About the service:

We conducted an unannounced inspection at Heathcotes Enright Lodge on 16 and 17 July 2019. The service consisted of one bungalow for four people and two individual apartments in another building. People living at the service had a learning disability and or autism and complex mental health needs. At the time of the inspection, one person was living at the service. Within the same grounds the provider had a second registered location Heathcotes Enright View that provided the same service and could accommodate seven people.

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.

People’s experience of using this service:

Improvements had been made and were ongoing, in how the person's safety needs were assessed and managed. Staff skills and competency had improved in managing incidents where the person became highly anxious, and their behaviour became a risk to themselves and others.

Where safeguarding incidents had occurred, the provider had used their safeguarding and staff disciplinary procedures to reduce further risks. The management team had also worked with external agencies, responsible for completing safeguarding investigations.

Improvements had been made to how incidents were managed. This included more robust ways of involving the person and staff, with an emphasis on how lessons could be learnt. Staff had received additional training in positive behavioural support. Least restrictive practice in the care and support the person received had improved. The management team were working more effectively and being supported by external health and social care professionals.

Whilst improvements had been made to staff recruitment procedures and induction, concerns were identified regarding the transfer of staff internally from the provider's other organisations. Staff training, and support had improved and whilst staff were positive about these improvements, staff morale was generally low. Staff expressed concerns about not being fairly treated and valued.

The person using the service received their prescribed medicines safely and when they needed. The service was clean and infection control practice was understood and followed.

The person using the service received sufficient amounts to eat and drink and they were involved in menu planning and independence was promoted. However, food stocks were low and repeated concerns were raised about the availability of food. Following our inspection, the provider took action to make improvements.

The person using the service was supported 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 person was supported with any health conditions and accessed health services to maintain their health needs.

The person using the service was positive about the staff who supported them and positive engagement was seen between staff and them. Independence and choice were promoted, encouraged and respected. This had resulted in positive outcomes for the person using the service and reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Support plans that provided staff with guidance of how to meet the person's needs had improved. T

Inspection areas

Safe

Requires improvement

Updated 13 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 13 September 2019

The service was not always effective.

Details are in our safe findings below.

Caring

Good

Updated 13 September 2019

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 13 September 2019

The service was not always responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 13 September 2019

The service was not always well-led.

Details are in our safe findings below.