Enright View

Updated 10 June 2021

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.

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 team consisted of two inspectors and a specialist learning disability nurse on-site, and an inspector off-site who made phone calls to staff. We also used an Expert by Experience, who is a person who has personal experience of using or caring for someone who uses this type of care service to phone families of people living at the service.

Service and service type

Heathcotes Enright View is a ‘care home’. 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.

Heathcotes Enright View was developed in response to the national 'Transforming Care' agenda, which aims to improve health and social care services so that more people with a learning disability can live in the community.

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.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

We spoke with two people who used the service and six relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, team leaders and support workers. We spoke with a health care professional visiting the service. We carried out general observations of the home and the care, support and interactions between staff and people who used the service.

We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision.

After the inspection

We continued to seek clarification from the provider to validate evidence found. A variety of policies and records relating to the management of the service were reviewed.

Updated 10 June 2021

About the service

Heathcotes Enright View is a residential service that can accommodate up to seven people. The service accommodates four people in one shared bungalow and three other people in self-contained apartments. The service specialises in caring for people with learning disabilities, autism spectrum disorders and complex mental health needs. At the time of the inspection seven people were living at the service.

Within the same grounds the provider had a second registered location, Heathcotes Enright Lodge, that provided the same service and could accommodate six people.

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

Relatives told us they thought their family members were safe living at the service. People we spoke to told us staff were available when they needed them which made them feel safe. Staff had received training in safeguarding and there were up to date policies and procedures in place to support staff knowledge. Accidents and incidents were monitored and reported.

People’s needs were assessed and managed and support plans were up to date and reviewed regularly. Staff were confident and skilled in managing incidents. Staffing levels had stabilised and staff had received training in how to support most people’s specific needs.

Staff recruitment procedures were in place and staff had a probation period with training and shadow opportunity before they started to support people. Staff received regular supervisions to support and guide their practice.

Medicines were stored, administered and recorded safely.

The service was clean and well maintained. The service was following current guidelines for infection prevention and control.

There was a registered manager in post and staff were very positive about the support they received. Regular quality assurance audits to monitor the quality of the service were in place. Incidents and accidents were recorded and analysed for themes to learn lessons.

The service engaged the views of staff and people to continue improvements to the service.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. Care was person-centred to support human rights and maximise choice, control and independence. Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives

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

Rating at last inspection

The last rating for this service was requires improvement (published 13 September 2019).

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels, staff training and supervision. A decision was made for us to inspect and examine those risks, and we undertook a focused inspection in Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has improved to Good. This is based on the findings at this inspection.