SeeAbility - Heather House Nursing Home

This report details an unannounced inspection of Heather House, a nursing home providing care for young adults with complex needs including physical disability, learning disability, sensory impairment, and autism, with a specialisation in Juvenile Batten Disease. The inspection focused on assessing the safety, effectiveness, caring nature, responsiveness, and leadership of the service. The findings indicate that the service has successfully addressed previous areas for improvement and continues to provide a high standard of care.

On safety, the home ensures that medicines are managed securely by nurses, and staffing levels are sufficient with registered nurses always on duty. Risks are thoroughly assessed, with specific guidance for individuals with epilepsy, and robust safeguarding training is provided to staff who understand how to report concerns. Recruitment processes include thorough pre-employment checks. However, a minor concern was noted regarding the storage of thickening agents for drinks, and the manager promptly addressed the need for more person-centred risk assessments for bed rails.

In terms of how effective the care is, Heather House operates within the principles of the Mental Capacity Act, with appropriate assessments and best interest meetings documented. Care plans are detailed, incorporating health and social needs, and staff are well-trained, with regular supervisions supporting their development. The environment is well-suited to residents' needs, with accessible corridors and specialized equipment, including a hydrotherapy pool in the resource centre.

The service is demonstrably caring, with staff expressing genuine enjoyment and a feeling of privilege in supporting residents. Many staff members have long tenures, offering consistent and familiar care, which is highly valued by residents' families. Residents are supported to maintain relationships with their loved ones, with accommodation available for visitors. A structured activity program, including various therapies, is in place.

Regarding how responsive the service is, it provides a structured programme of activities, including therapies like hydrotherapy and music, often utilising the on-site resource centre. Communication between the management, staff, residents, and families is effective and regular, with a clear complaints policy in place, fostering confidence in addressing concerns. Visitors are welcomed at any time, and residents are supported in sharing their lives with family through photos and videos.

Finally, concerning how well-led the service is, Heather House has made significant improvements in ensuring care records are kept up-to-date, addressing a previous requirement. The provider's values are actively discussed and upheld by staff, and feedback from residents and relatives is encouraged. The leadership team is visible, knowledgeable, and specialises in the care of individuals with Juvenile Batten Disease, supported by regular quality and safety audits by the provider.