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CQC report explained · a nursing home

What the CQC found at Heeley Bank Care Home

Goodpublished 11 February 2025, 19 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, February 2023

Rated Good overall; inspectors found kind, safe care, but leadership checks did not always make sure problems were fixed promptly.

This was an unannounced inspection on 24 January 2023. Inspectors spoke with people, relatives and staff. They observed care and checked care plans, risk assessments, medicines, recruitment records and management records.

The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found people were safe, treated kindly, supported with food and healthcare, and given personalised care and activities.

Well-led was rated Requires Improvement. The home had systems to find problems, but action plans and audits did not always make sure issues were dealt with quickly. Inspectors made a recommendation to strengthen these systems.

This was the first inspection since the service was newly registered. The previous provider had been rated Good in 2019, but that rating is not a direct rating of this newly registered service.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to meet people's needs and saw staff interacting with people. Recruitment checks were also in place.

    “There were enough staff available to meet people's needs in a timely way.” from the report
  • Kind and respectful care

    Staff were caring and supportive. Inspectors saw patient interactions and found that people were treated with dignity and involved in decisions.

    “This interaction was unhurried, and the staff member showed patience and kindness.” from the report
  • Food and drink

    People were offered varied food, drinks and snacks. Choices were available in written and picture formats, and inspectors found people well supported at lunchtime.

    “People were supported to eat and drink a varied and nutritious diet which met their needs.” from the report
  • Activities and communication

    Two activity co-ordinators provided social activities. Information and activity programmes used pictures as well as words, and people enjoyed a visit from a therapy dog.

    “During our inspection we saw people enjoyed a visit from a therapy dog.” from the report
What inspectors were concerned about
  • Problems not always fixed quickly

    needs fixing

    The home had action plans and audits, but these did not always ensure that issues were resolved promptly. Inspectors recommended stronger governance systems.

    “However, these had not always been resolved in a timely way.” from the report
  • Some risk records lacked detail

    minor

    Some risk assessments did not contain enough detail. The manager acted immediately to add information after inspectors raised this.

    “Some risk assessments lacked detail. We raised this with the manager who took immediate action to add information.” from the report
  • Minor medicines recording issue

    minor

    Some opened boxed medicines did not have the opening date recorded. The manager had already identified and was addressing this issue.

    “some boxed medication had been opened and no date of opening was recorded.” from the report
  • Some relatives not involved in care plans

    minor

    Some relatives said they did not feel involved in their relative's care plan. The manager said a meeting had been arranged to discuss this.

    “However, some relatives didn't feel involved in their relative's care plan.” from the report
Questions to ask them, based on this report
  1. 01What action has been taken to make sure issues found through audits are now resolved promptly?
  2. 02How do you check that risk assessments contain enough detail and are kept up to date?
  3. 03How do you make sure opened medicines are dated and recorded correctly?
  4. 04How will relatives be involved in reviewing and agreeing their family member's care plan?
  5. 05What activities are now available across the home, following the recent appointment of the two activity co-ordinators?

This was an unannounced inspection covering all five CQC questions, including infection prevention and control; it was the first inspection of the newly registered service. This explanation was written from the published report of 18 February 2023 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 Heeley Bank Care Home

5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. February 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Heeley Bank Care Home →

  2. October 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  3. July 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  4. January 2017Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  6. August 2021

    Registered with the Care Quality Commission on 12 August 2021.

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.

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