Heaton Lodge

Updated 19 July 2019

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 Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

This service provides care and support to people living in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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:

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.

The inspection took place on 10 July 2019.

What we did before inspection:

Before the inspection, we reviewed the information we held about the registered provider, including previous notifications. A notification is information about important events, which the registered provider is required to send to us by law.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During our inspection:

We spoke with two people who used the service, the registered manager, deputy manager and one member of staff. We reviewed a range of records. This included two people’s care records and two staff files in relation to recruitment, training and staff supervision records. We checked records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were reviewed during and after the inspection.

After the inspection:

We continued to seek clarification from the provider to corroborate evidence found. We looked at training data and quality assurance records. We spoke with two relatives by telephone to obtain their views of the service.

Updated 19 July 2019

Heaton Lodge provides care and support to people living in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. At the time of our visit, they were providing personal care to three people. Not everyone who used the service received personal care.

People’s experience of using this service and what we found

People using the service told us they felt safe. People were protected from the risk of abuse because staff had appropriate training and guidance had been followed. People’s risks had been identified and managed appropriately. Staff had been recruited safely and there were sufficient numbers of skilled and experienced staff to meet people’s needs. People’s medicines were managed safely. Infection control procedures were followed.

Staff working in the service had received training and support to make sure they were competent. Care records demonstrated that when there had been changes in people’s needs outside agencies had been involved to make sure they received the correct care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service did support this practice. People were supported to maintain a healthy diet.

People were supported by staff that promoted independence, respected their dignity and maintained their privacy. Staff acted on people's needs and in accordance with their wishes. Where people needed specific support or care, this was delivered in accordance with people's needs. Staff demonstrated a good knowledge about people they were supporting. People were involved in decisions relating to the care they received.

People's needs were assessed, and care and treatment were planned and delivered in line with their care plan. People received care that was tailored to their individual needs, taking into account their preferences. Care plans contained information about each person’s condition and were reviewed regularly. People were encouraged to pursue their hobbies and interests. People and their relatives felt confident their concerns would be taken seriously and would be addressed.

People, relatives and staff felt the service was managed well. There was an open and transparent culture. Quality assurance systems were in place to monitor the running of the service and the effectiveness of systems in place. Feedback was welcomed to drive continuous improvement within the service.

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

Rating at last inspection:

This service was registered with us on 4 July 2016 and this is the first inspection.

Why we inspected:

This was a planned inspection based on when the service started operating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.