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CQC report explained · a nursing home, run by BUPA Group

Heathland Court Care Home

56 Parkside, Wimbledon, London, SW19 5NJ

Goodpublished 11 June 2024, 2 years ago

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

The latest report, explained

What inspectors found, August 2023

Rated Good overall; inspectors found safer care and clear improvements, but well-led remains Requires Improvement and medicine-room temperature records needed fixing.

This was an unannounced focused inspection on 31 July 2023. Inspectors checked whether earlier problems with staffing, risk management and oversight had been put right. They spoke with people living in the home, relatives, staff and outside professionals, and reviewed care plans, staff records, medicines records and management checks.

The home had made enough progress to address the breaches found at the previous inspection. Staff were no longer working excessive hours without enough rest. Risk plans were more detailed, moving equipment was available, and management checks were being used more effectively. The safe rating improved from Requires Improvement to Good.

There were still concerns about leadership. The home had been without a CQC-registered manager for 16 months, after several management changes. Inspectors also found that daily room temperature checks for some medicine storage areas had not been completed and recorded accurately. The provider said this was corrected after the inspection.

The overall rating changed from Requires Improvement to Good. However, this inspection only assessed Safe and Well-led. The other key question ratings were carried forward from the previous inspection, and Well-led stayed at Requires Improvement.

What inspectors praised
  • Safer staffing

    Staff were given enough time off after long shifts and were no longer working excessive consecutive hours. Inspectors found staffing levels were adequate during the visit.

    We were assured the risk of people receiving support from fatigued staff who had worked excessive hours without sufficient time off had now been mitigated.from the report
  • Kind and individual care

    Inspectors observed staff responding to people's needs and preferences in a respectful way. People and visitors also described staff as kind and friendly.

    We observed staff constantly attending to people's needs and wishes, making sure they were happy and comfortable.from the report
  • Open management approach

    People, relatives and staff said the new management team was approachable and accessible. The home gathered views through meetings, reviews and surveys.

    People living in the care home, their relatives and staff working there all spoke positively about how approachable, accessible, and supportive the new management team were.from the report
What inspectors were concerned about
  • No registered manager

    needs fixing

    The home had not had a registered manager for 16 months. A new acting manager had applied to register, but this had not yet been completed at the inspection.

    However, the care home had been without a registered manager for 16 months.from the report
  • Management turnover

    needs fixing

    Inspectors heard concerns about repeated changes in managers and the effect this could have on stability and consistency.

    We've had 5 different managers in 5 years. We desperately need a stable management team to help us provide people with consistent, good quality care they deserve.from the report
  • Medicine storage records

    needs fixing

    Daily checks and accurate records of the temperature in all clinical rooms storing medicines had not been maintained. The provider said suitable checks were introduced after the inspection.

    However, the provider had failed to conduct daily checks and kept accurate records of the room temperature of all their clinical rooms where peoples prescribed medicines were stored.from the report
Questions to ask them, based on this report
  1. 01Has the acting manager's application to become registered with the CQC been approved, and who is currently legally responsible for the home?
  2. 02How will you maintain a stable management team after the recent turnover of managers?
  3. 03How are temperatures checked and recorded every day in all rooms where medicines are stored?
  4. 04How will you complete the move from paper care records to the electronic care planning system?
  5. 05What actions are included in the improvement plan requested by the CQC, and how will progress be shared with families?

This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 17 August 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 Heathland Court Care Home

8 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Heathland Court Care Home

  2. October 2022Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

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

  3. March 2021Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. October 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. February 2016Requires improvementstayed Requires improvement
    Safe: Requires improvement

    Read this report on cqc.org.uk

  7. February 2016Requires improvementstayed Requires improvement
    Safe: Requires improvement

    Read this report on cqc.org.uk

  8. August 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  9. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  15. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  16. November 2010

    Registered with the Care Quality Commission on 12 November 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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