Weelsby View

Updated 7 July 2017

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 announced inspection took place on 20 June 2017. We gave notice of the inspection the day before so staff could inform the people who used the service and provide appropriate support.

We looked at notifications sent in to us by the provider, which gave us information about how incidents and accidents were managed. We had not requested a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make.

The inspection team consisted of an adult social care inspector. During the inspection we met the three people who used the service. Some people communicated through non- verbal means. We observed interactions with people to establish how well they were supported and their relationships with the staff. We spoke with one person, the registered manager and two members of staff. Following the inspection we spoke with two relatives for their views of the service.

We looked at each person’s care file including their medication records. We also looked at a selection of records used in the management of the service. These included staff rotas, staff recruitment and training records, quality assurance audit checks, accident and incident records, maintenance checks, surveys and minutes of meetings with staff.

Updated 7 July 2017

Weelsby View is registered to provide accommodation and personal care for up to 10 people with learning disability and/or autism. The home is a detached house which has been extended. Accommodation is provided over two floors with stairs access to the first floor. Local facilities and amenities including the organisation’s college facility are within walking distance. On the day of our inspection there were three people living at the service, all male.

We last inspected the service on 22 May 2015 and the service was rated as Good with one area rated as Outstanding. At this inspection we found the service remained Good with one area rated as Outstanding.

The service had a registered manager in post. 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 staff team had an excellent understanding of people's complex needs. The way staff responded to people's needs, and approached them with compassion and consistent care, had led to them being able to participate in meaningful activities and having an outstanding quality of life. The staff team were very responsive to people's individual needs and had been flexible in organising a wide range of community-based activities to enable people to feel part of the wider community. All staff were dedicated to providing exceptional person-centred care and helping people to achieve their potential and develop their independence. A relative told us, “Yes, without doubt [Name of person] has grown since he moved to Weelsby View. He continues to be happy and settled. This is due to the trust he has in those who work with him. Without the support he receives at Weelsby View he wouldn't have progressed as he has. He has his own personality and the staff respond and interact well with him.”

The service was a safe place for people to live. Recruitment procedures were thorough and there were sufficient staff, used in a flexible way to support people’s needs. Staff knew how to safeguard people from the risk of abuse and harm, had received training and also had procedures to guide them. There were procedures in place to manage risk which helped to ensure people were safe whilst not being too restrictive.

People’s health and nutritional needs were met. People were supported to attend appointments and access community health care professionals for advice and treatment when required. Medicines were managed effectively and staff ensured people had their medicines as prescribed. The menus were developed with people where possible and provided them with a variety of nutritious meals.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. When restrictions on people's liberty were necessary the manager had ensured the correct applications had been made to protect each person's legal rights.

There was a strong emphasis on key principles of care such as compassion, inclusion, respect, dignity and enablement. Staff approach was observed as kind, caring and compassionate. They treated people with dignity and respect whilst still maintaining a friendly and professional manner.

Staff received training appropriate for their development, supervision and appraisal. Staff told us the registered manager led by example and were supportive of them. They felt listened to, able to make suggestions and were confident in supporting people who used the service.

There was a quality monitoring system in place which consisted of audits, checks, the management of complaints and obtaining people’s views about the service.