What the CQC found at Heywoods Grange

People were supported by a regular staff team who knew their needs well. Inspectors saw kind, respectful and encouraging care.

“We observed staff being kind, empathetic and genuinely fond of and respectful to people.” from the report

Care plans described people’s needs, preferences, abilities and risks. Staff supported people to make choices and remain as independent as possible.

“The care plans detailed what support people required and what they could do for themselves.” from the report

Medicines were administered as intended and the home checked records and stock. A pharmacist’s recent audit had identified issues that the home corrected immediately.

“People received their medicines as intended by staff who were suitably trained and competent.” from the report

Staff monitored people’s health, weight, eating and drinking. The home involved health professionals when needed and supported people with healthy meals and exercise.

“People's health care needs were known and supported by staff.” from the report

Families said they were kept informed and involved in care. Staff supported people to maintain relationships and offered emotional support to families.

“They told us they were fully involved and consulted about their family member's care” from the report

Records did not always show how staff were inducted, trained or supervised. Care records also did not fully show activities, progress towards goals or the actions taken after a safeguarding concern.

“We found in recent months the deputy manager had left and the home had supported a number of people towards the end of their life.” from the report

A recent safeguarding concern had not been referred to the safeguarding team by home staff. The concern was not substantiated, but inspectors could not understand what had happened from the home’s records alone.

“However, in regard to the recent safeguarding concern staff had not referred this to the safeguarding team, the referral had come from the hospital staff.” from the report

Formal supervision had lapsed after the deputy manager left. Some staff had not had supervision that year, making it difficult to show how their support and development needs were being met.

“Some staff had not had supervision this year and the previous year showed supervisions were not undertaken regularly.” from the report

Some first-floor windows could be opened fully and there were no written risk assessments for them. The registered manager agreed to assess this risk.

“There were no risk assessments in place to establish if there was any initial risk either to the person whose room it was or to anyone else who might enter the room.” from the report