Archived: Heathgrove Lodge Care Home

Updated 31 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of one inspector, a medicines specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced. The site visit activity started on 27 June 2019 and ended on 28 June 2019.

What we did before the inspection

We reviewed information we held about the service. This included details about incidents the provider must notify us about, such as allegations of abuse, and accident and incidents. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and one relative to gain their views about the service. We spoke with five care workers, two nurses, deputy manager, registered manager and the regional director.

We reviewed a range of records. This included nine people’s care plans, risk assessments and medicine records. We looked at six staff files in relation to recruitment, training and supervision. We also looked at records relating to the management of the service such as audits and a variety of policies and procedures developed and implemented by the provider.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records.

Updated 31 August 2019

About the service

Heathgrove Lodge Care Home is a residential care home providing personal and nursing care to 29 older people at the time of the inspection.

The care home accommodates 29 people in one adapted building

People’s experience of using this service and what we found

Due to inconsistencies in records, we could not be assured two staff members were involved in the repositioning of people where needed and people received care and support that was safe.

The décor and layout of the building was not adapted to meet people’s needs. Aspects of the home were not dementia friendly, easily accessible to people with mobility needs and did not encourage and promote independence and social interaction. People were dependent on staff to take them to other parts of the home when needed.

Medicines were not managed safely, discrepancies were found with medicines stock counts.

People were encouraged to eat healthy food for their wellbeing. However, some fluid intake records had not been completed to ensure people were sufficiently hydrated.

There were systems in place to assess and monitor the quality of the service provided. However, these were not effective to sustain improvement.

The majority of people spoke positively about the service. They said they felt safe and their needs were being met. Care and support was personalised to individual needs. Staff followed appropriate infection control practices. Assessments were carried out to ensure, people’s needs could be met. Where risks were identified, there was guidance in place for staff to ensure that people were safe.

The provider had systems in place to record and respond to accidents and incidents in a timely manner. Any lessons learnt were used as opportunities to improve the quality of service.

Staff had the knowledge and experience to support people's needs and were supported through induction, training and supervision to ensure they performed their roles effectively.

People were supported to maintain good health and had access to healthcare services.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's privacy, dignity and independence was promoted. People told us staff were kind and caring.

There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

The provider worked with healthcare services and professionals to plan and deliver an effective service.

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 July 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, enough improvement had not been sustained and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on previous rating.

Enforcement

We have identified breaches in relation to safe care and treatment, premises, person centred care and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner

For more details, please see the full report which is on the CQC website at www.cqc.org.uk