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Inspection Summary


Overall summary & rating

Good

Updated 29 December 2018

We inspected the service on 11 December 2018. The inspection was unannounced.

The service is registered to provide accommodation and personal care for up to eight adults with learning disabilities and autism. At the time of our inspection there were seven people using the service.

Heathcotes - Wigston is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff had received training to enable them to recognise signs and symptoms of abuse and felt confident in how to report these types of concerns.

People had risk assessments in place to enable them to be as independent as they could be in a safe manner. Staff knew how to manage risks to promote people’s safety, and balanced these against people’s right to take risks and become more independent.

There were sufficient staff with time to support people with their required needs. Effective recruitment processes were in place and followed by the provider. Staff were not offered employment until satisfactory checks had been completed.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. Effective infection control measures were in place to protect people.

People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were knowledgeable of this guidance and correct processes were in place to protect people. Staff gained consent before supporting people. People were encouraged to have choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems in the service supported this practice.

Staff received an induction process and on-going training. They had attended a variety of training to ensure they were able to provide care based on current practice when supporting people. Staff were also supported by managers through supervisions.

People were able to make choices about the food and drink they had, and staff gave support when required to enable people to have a balanced diet.

People were supported to access a variety of health professionals when required, including opticians and doctors to make sure people received healthcare to meet their needs.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support.

People’s privacy and dignity was maintained. Care plans were written in a person-centred way and were responsive to people’s needs. People were supported to follow their interests.

There was a complaints procedure which was accessible to all. Complaints had been responded to appropriately.

Quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.

The registered manager did not manage the service as they had moved to another post in the company. The acting manager was responsible for the management of the home and stated that they were in the process of applying to be the registered manager. We will monitor this as it is a condition of registration that the service has a registered manager in post.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 29 December 2018

The service remains good.

Effective

Good

Updated 29 December 2018

The service remains good.

Caring

Good

Updated 29 December 2018

The service remains good.

Responsive

Good

Updated 29 December 2018

The service remains good.

Well-led

Good

Updated 29 December 2018

The service remains good.