Background to this inspection
Updated
19 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector and an Expert by Experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their area of expertise included residential care, mental health and learning disabilities.
Service and service type: Welholme Road is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: The inspection was unannounced.
What we did: Before the inspection we checked information, we held about the service. This included notifications the provider had sent us about events or incidents that occurred and which affected their service or the people who used it. We contacted the local authority’s adult safeguarding, commissioning and quality monitoring team as well as Healthwatch England, the national consumer champion for health and social care, to ask if they had any information to share. We used this information to help plan our inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection, we spoke with five people living at the service and with one relative by phone to ask about their experiences of the service. We spoke with the registered manager, activities co-ordinator and three staff. We also spoke with one visiting health care professional.
We reviewed a range of documentation including three people’s care records, medicine administration records (MARs), quality monitoring checks and audits, policies and procedures and three staff recruitment, training, supervision and appraisal records. We also looked at the compliments and complaints received.
Updated
19 June 2019
About the service: Welholme Road is a care home that provides personal care and accommodation for up to 16 people who are living with a mental health disorder, physical disability and drug or substance misuse.
People received a service that provided them with safe care. Safeguarding policies and procedures were in place to protect people from harm and abuse. Robust medicine management was in place. Staff followed infection prevention and control practices. Staffing levels were monitored so that people gained the support they required.
Staff received appropriate induction, training and support and applied learning effectively in line with best practice. This led to good outcomes for people.
Where risks to people’s wellbeing were known their care records and support plans provided relevant guidance for staff to help them maintain their wellbeing.
Where people were unable to consent to their care or treatment the provider followed appropriate legislation to make sure decisions about their care and support were made in the person's best interest.
People living at Welhome Road told us they were satisfied with the service provided. Staff understood the importance of providing person-centred care and developed positive supportive relationships with people. Staff encouraged people’s independence and the development of positive life skills. This enabled people to live free from unnecessary restrictions.
Staff provided kind, caring and compassionate support for people living at the service. People were provided with information in a format that met their needs.
Staff undertook training to develop and enhance their skills. Staff worked closely with healthcare professionals and sought their advice, guidance and support to promote people’s wellbeing. People’s dietary needs were met. End of life care was provided with support from relevant health care professionals. Concerns and complaints raised were dealt with appropriately.
A range of checks and audits were undertaken to assess the quality of service. People were asked for their feedback about the service which was acted upon. Continuous improvement, learning and innovation was encouraged by the management team. Community links were developed and promoted. Data security was maintained.
Rating at last inspection: At the last inspection the service was rated Good (report published on 08/11/2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: We will continue to monitor this service and inspect in line with our re-inspection schedule or sooner if we receive information of concern.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.