Background to this inspection
Updated
15 February 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors 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.
Service and service type
Little Heath Reablement & Support Centre is a reablement centre with nursing care. People received accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 17 people who were receiving care and support from the home and three relatives.
We spoke with seven staff members, the registered manager and the director of nursing and care services for Brunelcare.
We reviewed a range of records. This included people’s care records, medication records, three staff files in relation to their recruitment, maintenance records and a variety of records relating to the management of the home.
Updated
15 February 2023
Little Heath Reablement & Support Centre provides personal and nursing care for up to 24 people. At the time of the inspection, 23 people were staying at the home for a period of rehabilitation.
People's experience of using this service and what we found
People living at the home were safe as there were systems and processes in place to safeguard them from abuse. The risks to people's safety were well managed and there were enough staff safely employed to meet people's needs. People's medicines were managed safely, and staff worked in a way that promoted the prevention of infection.
Staff received regular supervision and support. The annual training programme equipped staff with essential skills and knowledge. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The home was responsive to people’s health and social needs. People’s care records were reflective of people's individual care needs and preferences. They were reviewed on a regular basis. People knew about the home's complaints procedures and knew how to make a complaint.
The provider’s ethos and values put people at the heart of the home. This vision was driven through the leadership of the registered manager. The staff team were empowered to contribute fully to support a person-centred model of care. This helped people to achieve their goals and aspirations whilst promoting independence.
There were effective systems in place to monitor the quality and standard of the home. People and staff were asked regularly for their feedback which was used to develop the home. Staff felt appreciated and were consistently positive about the management of the home. The staff were supported within their roles. The registered manager was caring and supported staff with their wellbeing. Staff told us they enjoyed working at the home and felt respected at work.
There was clear evidence of collaborative working and effective communication with other professionals in health and social care. The registered manager had built relationships with the community and with health and social care professionals so that people could benefit.
Rating at last inspection and update
This service was registered with us on 21 October 2021 and this is the first inspection.
Why we inspected
This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.