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CQC report explained · a nursing home

What the CQC found at The Heathers Nursing Home

Goodpublished 11 March 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks, medicines, staffing, recruitment and infection control were managed effectively. One medicines discrepancy was found, but there was no impact and action was taken.
Effective?
Good
People had detailed care plans, trained staff supported their needs, and people were helped with eating, drinking and healthcare. Staff worked with health and social care professionals.
Caring?
Good
People were treated with kindness, dignity and respect. Staff involved people in decisions, respected privacy and promoted independence.
Responsive?
Good
Care was personalised and communication needs were considered. Activities had reduced, but a new activity lead had been employed to improve opportunities for social stimulation.
Well-led?
Good
Inspectors found a positive culture, supportive management and systems for checking quality and learning from incidents. Managers acted promptly on issues raised during the inspection.
The latest report, explained

What inspectors found, March 2022

Rated Good; inspectors found safe, kind and personalised care, with reduced activities and one medicines discrepancy noted.

This was the first inspection since the service became newly registered. The inspection was unannounced and took place on 08 February 2022, during a COVID-19 outbreak. Inspectors spoke with people, relatives and staff, and reviewed care plans, medicines records, recruitment files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were assessed, medicines were generally managed safely, staff were trained, and infection control arrangements were in place.

People were treated with kindness and respect. Care plans reflected people's needs and preferences, people were supported with food and healthcare, and staff worked with other professionals. The home had seen a reduction in activities, but had employed a new activity lead to increase them.

There was one medicines discrepancy, with no impact on the person, and a broken sluice room lock. The home manager acted on both issues when inspectors raised them. No breaches of regulations were reported.

What inspectors praised
  • Detailed care planning

    Care plans reflected people's current needs, choices and personal preferences. Staff used this information to provide individual support.

    “People's care plans were very detailed and reflected their current needs and choices.” from the report
  • Kind and respectful care

    People were treated well, involved in decisions and supported to maintain their dignity and independence.

    “People were supported and well treated by staff.” from the report
  • Safe systems

    The home had systems for managing risks, checking staff suitability, handling medicines and preventing infections.

    “The provider had effective systems in place to assess, monitor and manage potential risks to people's safety.” from the report
  • Responsive management

    Managers reviewed incidents, complaints and quality checks, and acted promptly when inspectors raised issues.

    “The registered manager and home manager acted immediately to investigate and action anything we raised on the day.” from the report
What inspectors were concerned about
  • Reduced activities

    needs fixing

    The home acknowledged that opportunities for social stimulation had reduced. A new activity lead had been employed, but families should check what activities are now available.

    “The home manager confirmed there had been a reduction in opportunities for people to have social stimulation” from the report
  • Medicines discrepancy

    needs fixing

    Inspectors found one discrepancy in a person's medicines. There was no reported impact, and the manager investigated it and discussed lessons with staff.

    “We found one discrepancy with one person's medicine, we found no impact” from the report
  • Broken sluice room lock

    minor

    Inspectors found a broken lock on a sluice room door. It was fixed immediately after being raised.

    “We also found a broken lock on a sluice room door, we raised this, and it was fixed immediately.” from the report
Questions to ask them, based on this report
  1. 01What activities are now being provided since the new activity lead was employed?
  2. 02What extra checks are in place to prevent another medicines discrepancy?
  3. 03How are medicines audits completed and how are any errors followed up?
  4. 04How will you make sure my relative's care plan stays up to date as their needs or preferences change?
  5. 05How do you involve relatives in reviewing care, activities and complaints?

This was an unannounced first inspection of the newly registered service, covering all five key questions, with additional checks of infection prevention and COVID-19 vaccination arrangements during an outbreak. This explanation was written from the published report of 11 March 2022 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 The Heathers Nursing Home

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

  1. March 2022Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Heathers Nursing Home →

  2. June 2020Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  3. January 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  4. September 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  5. February 2017Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
  6. August 2020

    Registered with the Care Quality Commission on 17 August 2020.

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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