29 June 2023
During an inspection looking at part of the service
Heathlands is a care home providing personal and nursing care for up to 84 older people who may be living with dementia. The care home accommodates people in a single adapted building spread over three floors. There were 72 people using the service at the time of this inspection.
People’s experience of using this service and what we found
People were safeguarded from the risk of harm or abuse. Staff were recruited safely and there were enough staff on duty to meet people’s needs. People had risk assessments to reduce the risk of harm they may face. Building safety checks were carried out as required. People were protected from the risks associated from the spread of infection. The provider had a system in place to learn lessons from accidents, incidents and complaints.
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. People had their care needs assessed prior to admission. Staff were supported with regular training opportunities, supervision and appraisals. People’s nutritional, hydration and healthcare needs were met. The service had an ongoing maintenance and refurbishment programme in place.
We observed caring interactions between staff and people using the service. People’s cultural and religious needs were met. Staff understood how to form positive relationships with the people they supported. People and relatives were involved in decision making about their care. Staff promoted people’s privacy, dignity and independence.
Care records were detailed and personalised. There were a variety of activities offered to people and plans in place to enhance what was offered. People’s communication needs were met. The provider had a complaints procedure and complaints were dealt with appropriately. People’s end of life care wishes were documented.
People, relatives and staff spoke positively about the leadership in the service. The provider had meetings with people, relatives and staff where they could be updated on the service development. The provider worked jointly with healthcare professionals to improve outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 12 September 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Recommendations
We have made 3 recommendations in relation to medicines management, the dining experience and communication.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.