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What the CQC found at Heatherington House

Outstandingpublished 7 March 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Outstanding
People were helped to understand and manage risks, including risks linked to food, medicines, fire safety and going out alone. Staffing was described as consistent, and people were involved in recruiting new staff.
Effective?
Outstanding
Inspectors found significant improvements in people's health, activity levels and behaviour around food. Staff had specialist training and worked with health professionals to provide tailored support.
Caring?
Outstanding
People consistently praised staff and said they were treated with respect. Staff supported privacy, personal relationships, cultural needs and individual hopes and goals.
Responsive?
Outstanding
Care plans were personalised and created with the people using the service. People were supported with communication, employment, finances, community activities and personal goals.
Well-led?
Outstanding
Inspectors found a clear culture of inclusion, independence and continuous improvement. People, relatives and staff were involved in feedback and quality checks.
The latest report, explained

What inspectors found, March 2019

Rated Outstanding; inspectors found exceptional personalised support, improved health outcomes and strong leadership.

The inspection was unannounced and took place on 28 November 2018. One inspector spoke with five people living at the home, four care staff, managers and two local authority commissioners. The inspector also reviewed care records, staff records, medicines information, training, complaints and quality checks.

The home supports people with Prader-Willi syndrome and learning disabilities. Inspectors found that people were supported to make choices, manage risks, improve their health, build independence and achieve personal goals. Staff were described as skilled, caring and committed.

The home was rated Outstanding overall and Outstanding in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was an improvement from the previous rating of Good. The Responsive rating remained Outstanding, while the other four areas improved.

What inspectors praised
  • Personalised independence

    People were supported to make choices, take positive risks and achieve goals that mattered to them. This included going out independently, travelling and taking on work.

    “Without exception, people were supported to achieve their goals.” from the report
  • Support with food and health

    The home helped people understand food, activity and health without unnecessarily restricting them. Inspectors saw major improvements in people's weight, health and wellbeing.

    “People were supported to manage their weight and food choices with sensible decision making and this had seen huge benefits to people's health and wellbeing.” from the report
  • Skilled staff

    Staff received specialist training and were not expected to support people alone until managers were satisfied they were competent. Staff worked with health professionals when people's needs changed.

    “Staff were extremely skilled, knowledgeable and experienced in supporting people at the home.” from the report
  • Respect and relationships

    People's privacy, relationships, beliefs and cultural needs were respected. Staff helped people maintain important relationships and supported personal choices sensitively.

    “Staff went the extra mile to support people with their relationships, and were sensitive and discrete to ensure people were supported to have the intimacy they wished.” from the report
What inspectors were concerned about
  • Home size

    minor

    The home accommodated more than six people. Inspectors noted this was an exception to the best practice guidance mentioned in the report, although they found that the home still promoted independence and inclusion.

    “The care service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance, with the exception that the home accommodated more than six people.” from the report
Questions to ask them, based on this report
  1. 01How would you support my relative to manage food choices and the risks linked to Prader-Willi syndrome?
  2. 02What opportunities would my relative have to go out independently, use local facilities and take positive risks?
  3. 03What specialist training do staff have in Prader-Willi syndrome, learning disability, autism and positive behaviour support?
  4. 04How would you support my relative's privacy, relationships, religious or cultural needs and communication preferences?
  5. 05How are people and families involved in care plan reviews, staff recruitment and checking the quality of the home?

This was an unannounced comprehensive inspection covering all five rating areas; the inspector reviewed one person's care plan and one staff file, alongside other service records and discussions. This explanation was written from the published report of 7 March 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Heatherington House

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. March 2019Outstandingcurrent ratingup from Good
    Safe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Heatherington House →

  2. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 21 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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