Archived: Heaton Lodge

Updated 5 June 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The first day of inspection was undertaken by one adult social care inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The second day of inspection was completed by one adult social care inspector.

Service and service type:

Heaton Lodge is a care home registered to provide accommodation and personal care for up to 23 people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The first day of inspection was unannounced. Inspection site visit activity started on 8 May 2019 and ended on 15 May 2019.

What we did:

Before the inspection we asked the provider to complete a Provider Information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and what improvements they plan to make.

We also looked at information we held about the service and provider, including notifications the provider had sent us. A notification is information about important events which the provider is required to send us by law. We used this information to help us plan the inspection. We also asked the local authority and Healthwatch Stockport for their views on the service. They raised no concerns.

During our inspection we spoke with seven people who used the service, the registered manager, deputy manager, area director, maintenance person, cook, administrator and three support workers.

We looked at three people's care records, a range of records relating to how the service was managed including six medication records, three staff personnel files, staff training records, duty rotas, policies and procedures and quality assurance audits.

Updated 5 June 2019

About the service: Heaton Lodge is a residential care home which provides accommodation and personal care for up to 23 people with a mental health need. At the time of our inspection there were 20 people living at the home and one person who was in hospital.

People’s experience of using this service: At this inspection we found the evidence supported the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

Medicines were managed safely, and people’s health needs were being met.

Risks were well managed. People were supported with their health needs and had access to a range of health care professionals.

Staff received the training and support they needed to carry out their roles effectively. Staff had been safely recruited and there were sufficient numbers of staff to provide people with the person-centred support they needed.

People had been involved and consulted with in the assessment and planning of their care and support. The provider was working within the principles of the MCA.

Care records were person centred and gave staff information about the support people needed and how staff could help promote people’s independence, choice, health and well-being.

Parts of the home needed updating. The provider had plans in place for the home to undergo extensive renovation and to change the model of care. The works were due to start in July 2019. It is intended that in the near future, the current provider will apply to register Heaton Lodge with the Care Quality Commission (CQC) as a supported living service.

Staff and managers knew people well. Staff placed great importance on promoting and maintaining people’s independence. People took part in activities that helped them remain part of the wider community.

Everyone was very positive about how the service was run and organised. People spoke highly of the registered manager and the providers.

We found the registered manger to be passionately committed to providing good quality person-centred care. Staff we spoke with shared this commitment.

Rating at last inspection: At the last comprehensive inspection published in March 2018, we found the service required improvement in safe and well led and was good in effective, caring and responsive. This gave the service an overall rating of requires improvement. At that inspection we found one breach of Health and Social Care Act (Regulated Activities) Regulations 2014 relating to safe care and treatment

Why we inspected: This was a planned inspection based on the rating of the service at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in line with our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk