Heathfield House

People told inspectors they were happy with the care. Staff understood people's needs and supported privacy, dignity, choice and independence.

“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report

Care plans included detailed guidance about each person's routines, needs and preferences. People and relatives were involved in planning and reviewing care.

“Care plans were written in a person-centred manner.” from the report

Inspectors found enough staff to meet people's needs. Medicine records, storage checks and staff competency assessments were in place.

“Medicines were managed safely. The provider had a process for the management and administration of medicines to ensure they were given as prescribed.” from the report

The manager acted when inspectors raised concerns and said changes had been made to incident forms, emergency plans, communication formats and the environment.

“The registered manager was responsive when the issues identified during the inspection were discussed. They implemented an action plan and made improvements following the inspection.” from the report

Two incident records described what happened and the immediate response, but did not record further action or lessons to reduce future risks. The provider said a new lessons learned form was being used after the inspection.

“There was no information noted on any additional actions taken or any lessons learned to reduce further risk.” from the report

Care plans identified communication needs, but the format of the information did not always reflect those needs. The provider later said pictorial care plans had been developed for people who would benefit from them.

“People's communication needs were identified in their care plans, but this was not always reflected in how information was provided.” from the report

Inspectors found rust, damaged fixtures, an old carpet and a dirty, rusty medicines trolley. The trolley was replaced and a redecoration programme had started after the inspection.

“Some areas of the home looked tired and were in need of updating or replacement.” from the report

One person's end-of-life plan said they wanted resuscitation, while a DNACPR document said they did not. The provider said this would be reviewed with the person and relatives, and later said DNACPR records had been checked.

“There was also a do not attempt cardiopulmonary resuscitation (DNACPR) document stating they did not want resuscitation.” from the report