29 November 2022
During a routine inspection
The care home accommodates people across two separate buildings. Weston Villa has four self-contained flats which accommodates four individuals, and the second building known as Henson Court is a 4-bed bungalow that has a communal areas and individual bedrooms with en-suite facilities. Weston Villa and Henson Court are registered as one service; in the report we will talk about the service as one location.
People’s experience of using this service and what we found
Right Support:
People were supported to have 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 supported this practice.
People were supported to follow their interests although some people spent a lot of time indoors by choice. They were encouraged to try new experiences and to spend time outdoors. Staffing was under review to acquire more hours that would mean people could be supported with more activities and visits outside of the service, how and when they wanted. Staff supported people to develop strategies to manage emotional distress and anxiety, maximising safety to provide the best circumstances in which people could make decisions and experience an active and rewarding day. Periods of anxiety or emotional distress were recorded, which included the action taken by staff to support people. The registered manager considered these as part of the review process of people’s needs.
Right Care:
Staff understood how to protect people from poor care and potential harm. The service worked with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff supported people to access health and social care support, which included a regular review of their prescribed medicines. People could communicate with staff and understand information given to them as staff supported them consistently and understood their individual communication needs. Staff knew how to support people safely and in line with their individual risk assessments and care plans. People were supported with their Prader-Willi Syndrome (PWS) needs and care plans were in place to support people to make healthy choices around food and drinks.
Right Culture:
People appeared relaxed within their home and in the presence of staff. People were supported to do as much as they could for themselves and to learn new skills. We observed staff encouraging people’s independence such as supporting them to pay for goods when out at an eatery. People's needs, and choices were assessed, and their care was provided in line with their preferences. Staff supported people to have choice, control and independence over their own lives. Planned improvements to the environment to personalise it to better reflect the personalities of those living at the service were in progress and people were involved in the process. The registered manager sought to drive continuous improvements in the service for the benefit of people living there.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Since the last inspection the provider’s legal entity has changed. The last rating for the service under the previous legal entity was Requires Improvement, published on 23 February 2022.
Why we inspected
The inspection was prompted in part due to concerns received about several incidents involving the police. We also undertook this inspection to assess that the service is applying the principles of 'Right support right care right culture'.
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 COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Weston Villa on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.