Heathlands Care Centre

Inspectors found that medicines were given as prescribed, records were accurate for the six people checked, and staff training and medicine audits were in place.

“People's medicines were managed safely.” from the report

The menu was varied, alternatives were offered, and snacks and drinks were available. Specialist diets were adapted to help people eat safely.

“There was a varied menu with alternatives offered at mealtimes.” from the report

People could take part in activities such as gardening, art, singing and cinema sessions. Relatives and visitors were welcomed, and important relationships were supported.

“People enjoyed a range of activities in the home including gardening, art sessions and singing entertainment.” from the report

Staff had completed the required mandatory training and the Care Certificate. Supervisions and appraisals were up to date.

“We found staff had the training required to meets the needs of people using the service.” from the report

The home worked with GPs, diabetic nurses, speech and language therapists and community psychiatric nurses to support people's health needs.

“People were supported to access health and other services to help meet their health and wellbeing needs.” from the report

Some care plans did not explain clearly what staff should do to manage risks such as seizures or moving and transferring people. This could leave people at risk of harm.

“People's care plans did not always contain clear guidance for staff to protect people from risks.” from the report

Inspectors saw a staff member force a spoon into a person's mouth when the person kept their mouth shut. The home made a safeguarding referral, but the provider remained in breach.

“When the person kept their mouth shut the staff member forced a spoon into a person's mouth.” from the report

One person did not always receive continence or personal hygiene support promptly. On one occasion, the person had not had their pad changed or used the toilet for six hours.

“On one occasion this person had not had their pad changed or used the toilet for 6 hours.” from the report

Care records included contradictory information about allergies, pain and breathing problems. This could make it difficult for staff to provide the right care.

“People's care plans contained inaccurate and contradictory information.” from the report

The provider's checks had not identified or fixed important problems. There was also not enough evidence that people's views and concerns were recorded, investigated and used to improve care.

“The provider has failed to meet the requirements of the warning notice at this inspection.” from the report

Inspectors found no evidence that mock fire evacuations were taking place at night. The business continuity plan also lacked contact details for people responsible during an emergency.

“At this inspection there was no evidence mock fire evacuations were taking place at night.” from the report