Background to this inspection
Updated
22 May 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.
Inspection team
This focused inspection was carried out by one inspector.
Service and service type
Wilton Villas is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at information we had received about the service, including notifications and other information shared with us by the local authority.
The provider was 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 took this into account when we inspected the service and made the judgements in this report.
We used this information to plan our inspection.
During the inspection
We spoke with three people that used the service. We spoke with two recovery workers, the life skills facilitator, the registered manager, deputy manager, chief executive and director of operations.
We reviewed a range of records. This included four people’s care records and risk assessments, five people’s medicines records as well as other audit and assessment information covering the day to day operation and monitoring of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
22 May 2021
About the service
Wilton Villas provides residential care for men who live with enduring mental health issues and substance or alcohol misuse issues. The service can accommodate up to 18 people and 10 people were in residence at the time of this inspection.
People’s experience of using this service and what we found
We saw that risk assessments concerning people's day to day mental health and other support needs were clear and regularly reviewed. There were descriptions of potential risks and information for staff about action to be taken to reduce risks and how to respond if new risks emerged. The service liaised more effectively with community based mental health and social care professionals.
People were supported to exercise maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service support this practice. People we spoke with told us about feeling that the service was maore relaxed and felt happier to live at the home.
The provider reported concerns to CQC via statutory notifications as required by legislation, the volume, type and seriousness of incidents had much reduced over the last year.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wilton Villas on our website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was requires improvement (Inspection report published on 3 December 2019). At this inspection the rating had improved to Good.
Why we inspected
At our previous inspection in August 2019 we did not find any breach of regulation but were concerned about the stability of the service and levels of serious incidents. We carried out this focused inspection to examine the effectiveness of measures taken to improve the service in the last 18 months. We looked specifically at the Key Questions of 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.
Follow up
We will continue to monitor information we receive about the service. If we receive any concerning information we may inspect.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.