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Inspection Summary


Overall summary & rating

Good

Updated 14 December 2019

About the service

Heathcotes Preston is a specialist care home for adults with a learning disability, mental illness and who may have challenging behaviours and associated complex needs. The service can support up to seven people. At the time of the inspection three people resided at the service. All bedrooms had ensuite facilities. People had access to shared communal areas and a kitchen.

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.

The service was a medium sized house with small areas of communal space. The registered manager told us they would assess people before admission to ensure the environment would be suitable for them in relation to space, stimulation and independence. 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

Since the last inspection there had been significant improvements. People told us they felt safe and staff understood the importance of safeguarding people from abuse and avoidable harm. The registered manager had ensured lessons were learnt and risk associated with people’s unpredictable and challenging behaviours were managed in a person-centred and effective way, this had significantly reduced the number of incidents at the service.

Staff were suitably trained and supported. The registered manager listened to staff’s opinions and invested in their professional development. Staff morale had significantly improved.

Staff supported people to access a wide range of health and social care professionals. Staff acted when people’s physical or mental health declined and supported them to follow guidance and advice from professionals.

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.

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. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support pr

Inspection areas

Safe

Good

Updated 14 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 December 2019

The service was well-led.

Details are in our well-Led findings below.