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Little Heath Care & Reablement

Inspection Summary


Overall summary & rating

Updated 8 January 2021

Little Heath Care & Reablement is a care home that provides personal and nursing care for up to 88 people. The service is provided in accommodation which was split into areas. This included an onsite reablement centre and nursing home. At the time of this targeted responsive inspection 26 people were receiving care.

We found the following examples of good practice.

We were safely showed around the whole home, we did not enter people’s bedrooms. When rooms become vacant, they remained locked for a period of time with deep cleaning taking place. Staff signed on a board outside of these rooms that they had been decontaminated and cleaned. As the home were not taking any new admissions at this time the rooms remained locked.

The home was exceptionally clean throughout. Housekeeping and laundry practices were overseen by housekeeping staff. The designated management team of each area completed daily walk arounds to check the home was clean to a satisfactory standard and that staff were following good practice. This included wearing the appropriate PPE. Plans were in place for a contractor to complete fogging of some areas of the home. Fogging uses an antiviral disinfectant solution which cleans and sanitises large areas of a building quickly and effectively.

The reablement centre and care home had a separate designated entrance and exit distanced from each other. Posters were displayed which explained the safety procedures in place at the home. Due to the Covid-19 outbreak the only visitors to the home were professionals or relatives that were able to visit loved ones who were receiving end of life care. These visits were kept to a minimum and visitors were asked to adhere to the home’s infection control procedures.

On arrival visitors were asked to sign in and had their temperature checked. They were provided with personal protective equipment (PPE) that included gloves, aprons and facemasks. They were then shown to the area of the home they were visiting.

People had been supported to maintain contact with their loved ones, by pre booked window visits, phone and video calls. Newsletters were also sent to people’s loved one to keep them up to date on information. The home had its own social media page which kept people and loved ones connected. A friends and family meeting was also held using a video call facility. Senior managers also attended the meeting. We were told that this went well.

Daily activities continued to take place for those people who were not required to self-isolate. Activities were organised by the staff team. People had been busy making Christmas photo scrap books for loved ones.

The management team told us that they were currently not accepting any new admissions to the home due to the outbreak of infection. When people were admitted to the home, risk assessments were completed, and people were isolated for 14 days with full PPE wore by staff.

Some people in the home were living with dementia, and unable to understand the need for social distancing. Staff were aware of the need to mitigate the risks associated with people being in close contact with one another. The home had sought advice from Public Health regarding one person who if tested positive would not be able to isolate as they like to walk around the home. Plans had been put into place to pre-empt this situation.

The home took part in regular testing for COVID-19. Staff were tested weekly, and people were tested monthly. Testing was currently being completed more regularly of people due to the outbreaks. Staff and people that had tested positive or displayed symptoms were immediately isolated. The provider maintained spreadsheets of the positive cases and graphs centred around the outbreak. These were helpful and showed how the virus had spread.

Little Heath Care & Reablement had policies and procedures in place. Staff had received infection control training and were kept up to date with any changes in guidance and information. Staff

Inspection areas

Safe

Updated 8 January 2021

We were assured the service were following safe infection prevention and control procedures to keep people safe.

Effective

Updated 8 January 2021

Caring

Updated 8 January 2021

Responsive

Updated 8 January 2021

Well-led

Updated 8 January 2021