Heathlands Care Centre

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk of harm to people.

At our last 4 inspections, the provider was in breach of the legal regulations regarding people’s safe care and treatment. At this inspection, we found that although improvements had been made in several areas, the provider remained in breach of this regulation. The provider was no longer in breach of the regulation relating to staff recruitment, although increased oversight of these processes was required.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment, we rated this key question requires improvement. At this assessment, the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

At our last inspection, the provider was in breach of Regulation 17 (Good Governance), which relates to management oversight rather than the Effective key question. At this inspection, although improvements had been made, the provider remained in breach as increased oversight was still required in how the Mental Capacity Act 2005 was implemented and how people’s goals and aspirations were monitored.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

At our last assessment, we rated this key question requires improvement. At this assessment, the rating has changed to good. This meant people were supported and treated with dignity and respect and involved as partners in their care.

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s needs were met through good organisation and delivery.

At our last inspection, the provider was in breach of Regulation 17 (Good Governance), which relates to management oversight rather than the Responsive key question. At this inspection, although improvements had been made, the provider remained in breach as increased oversight was still required in relation to the lack of consistency found within care plans.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment, we rated this key question inadequate. At this assessment, the rating has changed to requires improvement. This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

At our last four inspections, the provider was in breach of the legal regulations in relation to the management oversight and governance of the service. At this inspection, we found that although improvement had been made, the provider remained in breach of this regulation as increased oversight and governance were required.