Is the service safe?We were able to speak to three of the people who used the service and three family members. All of whom told us that they were happy with the service being provided. One of the people who lived at the home told us, 'I knew as soon as I came through the door that it would be ok, I felt comfortable and at ease'. A family member said, 'I think the home is fine and that my X is looked after ok'. Another family member told us, 'I am very pleased with the care, they are very good and I can't fault the care given'.
We observed during our visit that people were treated with respect whilst the staff team were carrying out the daily care. We also observed that equipment was used such as a hoist to transfer people from chair to wheelchair.
Training was in place to protect the people who lived at Little Heaton Care Home such as moving and handling, safeguarding adults and first aid. The training was provided through Rochdale Local Authority and other professional training companies. This helped to ensure that the staff team had the qualifications and skills to meet people's needs. National Vocational Qualifications (NVQ) in Health and Social Care had also been obtained.
Training had been given to the staff team with regard to the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards. There was also a poster displayed in the corridor outside the general office explaining the MCA and how it affects people.
Little Heaton Care Home was clean and free from unpleasant odours. There were soap dispensers and paper towels available in all bedrooms and toilets etc.
We also saw that various safety checks had been completed. These included gas, electricity and passenger lift safety certificates. Some work had been required with regard to the electric and passenger lift which the manager had organised to be completed.
It came to our attention during the inspection that there had been an incident involving medication which had put the person's health at risk. This was being investigated by Rochdale Local Authority Safeguarding Unit.
We also found that the daily record of one person's health and wellbeing was unsatisfactory. The reason for this was that it did not inform people that the person was having health problems and therefore there was no information regarding action that had been taken and the outcome of that action. This lack of information in the daily record may have put the person's health at risk.
Is the service effective?
One of the people we spoke with told us, 'The GP is called straight away if something is wrong and the district nurse visits to change my dressings'.
The family members we spoke with said that they were kept informed about their relative's care. They also told us that if they had any concerns they were comfortable with talking to the manager or the care workers. One family member told us, 'They always get the GP when necessary; I have no worries and I am kept informed; always told when I visit if there is anything of concern'.
A passenger lift and stair lift assisted people to reach the upper floors. There was equipment available such as hoists and assisted baths.
Healthcare professionals such as GP, district nurse and dietician visited the home as requested. Notes were made of the visits on the person's care plan.
Is the service caring?
No one we spoke with said that they had any concerns about the care provided. One person told us, 'I can have my meal in my room and the cook comes up and has a chat with me and tells me what they have on the menu. There is a choice of two or three dishes'. They also went on to say that the staff team are, 'Kindness itself night and day; I have never seen anyone lose their temper, they are very patient and I am very happy and contented'. The person also told us that entertainers, dominoes and quizzes took place and an 'exercise to music' class was held on a Friday morning.
A family member said that they could talk to the manager if they had any concerns. Another said, 'The home is very good and I have no complaints about the staff; all very nice and very friendly'. One of the people who lived at the home said, 'If I was not happy I could talk to the staff; I can't imagine going back home and doing housework etc.
Is the service responsive?
We saw that people's needs were assessed before they were admitted to the home to ensure that their needs could be met. We saw that risk assessments and care plans were in place that reflected the person's care needs to ensure that they received appropriate care. A family member told us that they had attended the most recent review and were aware of the care plan.
People we spoke with told us that the GP was contacted straight away if something was wrong and that the district nurse visited to change dressings etc.
We were told by a family member that the dietician was due to visit their relative to undertake an assessment of their changing care needs.
The care plans contained information from GP, district nurse and other health care professional's visits.
Is the service well-led?
Little Heaton Care Home is owned by a company that have six homes in total. There is an Area Manager employed who is responsible for the two homes that are located in the North West region. A Registered Manager is responsible for the day to day care of the people who lived at Little Heaton Care Home. The registered manager has a National Vocational Qualification (NVQ) level 5 in Management and has 15 years' experience.
We were told by the manager that questionnaires were distributed to the people who used the service in order to obtain their views and opinions about the service. The results were analysed and displayed in the entrance hall for everyone to see.
The manager had recently organised a staff meeting which had been well attended and a team leader meeting. Also an impromptu resident meeting had also taken place when menus and trips out had been discussed.
We were told by people and families who used the service and the staff team that they could talk to the managers if they had any concerns about the care being provided.
We became aware during our inspection that regular audits of medication records and care plans were not taking place. The care plan/risk assessments were reviewed by the senior team however the overall quality was not currently being audited. We were also informed that no infection control audit had been undertaken.
We discussed the lack of auditing and quality monitoring with the manager. The manager informed us that a deputy manager was being employed who would assist the manager to implement systems to quality audit the documents and records. The manager also informed us that they were to seek advice from the Infection Control Nurse regarding infection control audits.
It is essential that care plans as a whole, the administration of medication and infection control audits are regularly audited and monitored. This is to ensure that people are safe and not being put at risk from unsafe practice.