Background to this inspection
Updated
15 February 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on the 8 November 2018, and was unannounced. The inspection team consisted of one inspector.
The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Prior to the inspection, we reviewed this and other information we held about the service, we looked at the previous inspection report and notifications received by the Care Quality Commission. A notification is information about important events, which the provider is required to tell us about by law.
We spoke with the registered manager and one person using the service. We reviewed two people’s care files. We also looked at quality monitoring, audit information, policies held at the service, and staff support records.
Updated
15 February 2019
This inspection took place on the 8 November 2018 and was unannounced. The inspection team consisted of one inspector. The previous inspection to the service was in March 2016 and the service was rated ‘Good’ overall.
Whitehall House is registered to provide personal care and accommodation for two people with learning disabilities, who may be on the autistic spectrum r or have mental ill health. The service is located in Grays, Essex. Each person has a single room and there is a communal bathroom, kitchen, dining room and lounge. There is a rearenclosed garden at the back of the house with level access. At the time of our inspection, there were two people using the service.
The care service has been developed and designed in line with the values that underpin the ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service was safe. The service’s recruitment process ensured that appropriate checks were carried out before staff commenced employment. There were sufficient staff on duty to meet the needs of people and keep them safe from potential harm or abuse. People’s health and wellbeing needs were assessed and reviewed to minimise risk to their health. People’s medicine was managed well and records of administration were kept up to date.
The service was effective. People were cared for and supported by staff who had received training to support people and to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to health and social care services were made when required.
The service was caring. Staff cared for people in a empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.
The service was responsive. Records we viewed showed people and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The service responded to complaints in a timely manner.
The service was well-led. Staff and people spoke very highly of the registered manager and the provider who were very supportive and worked hard to provide an exceptional service. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis.