Heathfield House

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Records did not show that appropriate action was taken in response to incidents where people had fallen. Therefore, we could not be assured that action had been taken to reduce the risk of harm from falling.

The systems in place to monitor safety and quality at the service were not fully embedded or effective. The registered manager and provider did not always report notifiable incidents to us and the local authority.

Right Care: There were sufficient numbers of suitable staff at the service. However, improvements were needed to ensure safe recruitment processes were consistently operated.

Staff supported people in line with their individual preferences and agreed care plans. People were supported to receive their medicines when they needed them and were protected from the risk of infection as staff followed safe infection prevention and control practices.

Right Culture: People told us they were supported to have maximum choice and control of their lives. However, the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards were not consistently applied. People were not always supported in the least restrictive way possible.

People were able to receive visitors without restrictions in line with best practice guidance.