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CQC report explained · a nursing home, run by Care Concern Group

Heathlands Care Home

2b Hatch Lane, London, E4 6NF

Goodpublished 26 August 2025, 12 months ago

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

The latest report, explained

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.

What inspectors praised
  • 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
What inspectors were concerned about
  • Medicines records

    needs fixing

    Inspectors 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 fixing

    Some 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

    minor

    Inspectors 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

    minor

    Some 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

    minor

    There 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
Questions to ask them, based on this report
  1. 01What changes have been made to prevent gaps in medicines administration records?
  2. 02How are agency staff told about each person's individual care needs, and how is their competence checked?
  3. 03What has changed to improve the dining experience, including making condiments available and responding to food preferences?
  4. 04How will you make sure people and relatives are told about meetings, activities and other important updates?
  5. 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.

The story over the years

Every inspection of Heathlands Care Home

4 rated inspections over 9 years: the service has held its Good rating throughout.

  1. October 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Heathlands Care Home

  2. March 2021Inspected but not rated
    Safe: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

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

  3. September 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2016Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2014Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. 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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