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Heathcotes Wistaston House Requires improvement


Inspection carried out on 15 October 2019

During a routine inspection

About the service

Heathcotes Wistaston House is a residential care home providing personal care to four people at the time of the inspection. The service can support up to seven people in one adapted building. Each bedroom had its own en-suite shower room and there was a number of communal areas including a bathroom, lounge, kitchen, dining room, conservatory and a large garden area.

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 some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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 building design fitted into the residential area and the other large domestic homes of a similar size. 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 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. We have made a recommendation however to review any legal restrictions affecting a person’s care.

During the inspection we identified one occasion where the registered manager failed to inform the CQC of a notifiable event. We have addressed this with the provider outside of the inspection.

We found that staff did not always receive all the training they needed to support people effectively. This was addressed by the registered manager during our inspection however we have made a recommendation about some of the training staff receive.

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.

People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People living at Wistaston House had previously lived in a variety of secure accommodation settings. Staff were motivated and worked in a positive way to develop trusting relationships to encourage people to live full lives as independently as possible. The service enabled people to pursue their leisure interests, maintain relationships with families and friends and develop independent living skills.

People we spoke to during the inspection spoke highly of Wistaston House and the care they received. Staff a