CQC report explained · a nursing home, run by Care Concern Group
Heathlands Care Home
2b Hatch Lane, London, E4 6NF
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, October 2023
Heathlands Care Home was rated Good overall, with kind and safe care, but inspectors recommended improvements to medicines, dining and communication.
Inspectors visited on three days between 29 June and 21 July 2023. They spoke with people, relatives and staff, and checked care records, medicines, recruitment records, audits and building safety documents. The inspection was unannounced.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, suitable risk assessments and good infection control. They also found people were treated kindly, involved in decisions and supported with food, healthcare, activities and personalised care.
There were some areas to improve. Inspectors found recent gaps in medicines records, concerns about agency staff knowing people's needs, an inconsistent dining experience and communication that did not always reach people and relatives. They made three recommendations, but recorded no breaches of regulations.
People were kept safe
Inspectors found safeguarding arrangements, risk assessments, building checks and infection control measures. Staff knew how to report abuse or concerns.
“People were protected from the risk of harm or abuse.” from the report
Kind and respectful care
Inspectors observed staff showing patience, understanding and compassion. Staff promoted privacy, dignity and independence.
“We observed caring interactions between staff and people using the service.” from the report
Personalised care
Care plans included people's preferences, life history, goals and support needs. They were reviewed with people's and relatives' views included.
“Care plans were detailed, personalised and stated the outcomes and goals to be achieved for each care intervention.” from the report
Activities and relationships
People had access to different activities and support to keep in touch with family and friends. Inspectors saw people taking part in activities and social events.
“People had access to a range of activities and were supported to maintain links with friends and family.” from the report
Positive leadership
People, relatives and staff generally felt listened to by the management. The home used meetings, surveys and audits to review its service.
“The provider had systems in place to involve people using the service, relatives and staff in the development of the service.” from the report
Medicines records
needs fixingInspectors found some recent gaps in medicines administration records, including entries saying a person had been sleeping when medicines were given. The staff member involved was removed from medicines duties and retraining was arranged.
“We found there some issues with medicine administration records where there were some recent gaps and entries stating a person had been sleeping when medicines were being administered.” from the report
Agency staff knowledge
needs fixingSome people and relatives were not confident that agency staff understood individual needs. The manager said agency staff were being used less often as permanent staff were recruited.
“The agency staff are not aware of what I need help with.” from the report
Dining experience
minorInspectors found that condiments were not offered and some people said the food was too spicy. A recommendation was made to improve the dining experience.
“However, we noted there was no background music playing while people ate and condiments were not offered.” from the report
Communication with families
minorSome people and relatives said they did not always hear about meetings or what was happening in the home. Inspectors recommended improving communication and involvement.
“I seem to miss some things that are going on, because no one tells me.” from the report
No registered manager at the visit
minorThere was no registered manager in post during the inspection. A new manager had been in post for three months and had applied to register, with the application still being assessed.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01What changes have been made to prevent gaps in medicines administration records?
- 02How are agency staff told about each person's individual care needs, and how is their competence checked?
- 03What has changed to improve the dining experience, including making condiments available and responding to food preferences?
- 04How will you make sure people and relatives are told about meetings, activities and other important updates?
- 05Has the new manager's application to become registered been approved?
This was an unannounced inspection covering all five key questions, including infection prevention and control under Safe; all five ratings were given as Good. This explanation was written from the published report of 14 October 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.
Every inspection of Heathlands Care Home
4 rated inspections over 9 years: the service has held its Good rating throughout.
- October 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated
- September 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2014GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 17 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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