Background to this inspection
Updated
12 July 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 25 February 2016 and was unannounced. It was carried out by one inspector.
Before the inspection we reviewed the information available to us about the home, such as the notifications that they had sent us. A notification is information about important events which the provider is required to send us by law.
During this inspection we spoke with three people, two with limited verbal communication skills. We spoke with three staff members and the registered manager. We observed how care was delivered and reviewed the care records and risk assessments. We checked medicines administration records and reviewed how complaints were managed. We looked at three staff recruitment records and staff training records. We also reviewed information on how the quality of the service was monitored and managed.
Updated
12 July 2016
This inspection took place on 25 February 2016, and it was unannounced.
Heathfield Gardens provides nursing accommodation and support for up to 10 people who have a learning disability. At the time of this inspection there were 10 people who lived at the home. There had been no new admissions since the last inspection.
The service had a registered manager in post. The home is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service.
There were enough staff to meet people’s needs. Staff provided people with support and assistance in an unhurried, kind and considerate manner.
Staff protected and promoted people’s dignity and privacy. All interactions between staff and people were caring and respectful. People’s independence was promoted and they were supported to maintain their interests and hobbies both inside and outside the home.
People were listened to. Where possible, people were included in developing and reviewing the service to ensure it was providing what people wanted. There was a clear complaints procedure which was available for people and their relatives.
The provider ensured that staff were suitable to work in the home, and they had the knowledge and skills to meet people’s needs. There were opportunities for additional training specific to the needs of the people, such as understanding behaviour and keeping people safe. Staff had one-to-one supervisions and appraisals.
Staff had received training in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure they understood how to promote and protect people’s rights. People were asked for their consent before staff provided people with support. Staff were able to explain to us how they maintained people’s safety and protected their rights.
Medicines were managed safely and in line with current legislation and guidance. There were systems in place to ensure medicines were safely stored, administered and disposed of. Staff who administered medicines received training to ensure their practice was safe.
Referrals were made to the relevant health and social care professionals where risks and changes had been identified. People were given a choice of nutritious food and drink throughout the day.
People were safe and the provider had effective systems in place to safeguard people. Staff were trained to recognise and respond appropriately to signs that people may be subjected to abuse. Staff were aware of emergency procedures.
The service was managed in the best interests of people. There was an effective quality assurance in place. The was an easy to use complaints process in place. Staff were managed in a manner that ensured good care was provided to people. Staff knew people well and were motivated to provide good care and were proud of the service they provided.