Wynford House

Updated 13 December 2018

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 comprehensive inspection took place on 9 October 2018 and was announced. We gave the service 24 hours notice of the inspection visit. This was because the location was a small care home for adults who are often out during the day and we needed to be sure that they would be in. The inspection team consisted of two inspectors.

Before the inspection the provider had submitted 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. We looked at information we held about the service. This included any complaints we had received and any notifications. Notifications are changes, events or incidents that the service must inform us about.

During our inspection we spoke with five people and two relatives. We spoke with four members of staff and the registered manager. We observed staff interactions with people. We reviewed a range of records about people’s care and how the service was managed. These included the care records for five people, medicine administration record (MAR) sheets, three staff training, support and employment records, quality assurance audits, incident reports and records relating to the management of the service.

The service was last inspected on the 16 March 2016 and was awarded the rating of Good. At this inspection the service remains Good.

Updated 13 December 2018

The inspection took place on 9 October 2018 and was announced. Wynford House is a large detached house that provides care for up to eleven people who live with a learning disability and/or other complex needs. It is situated near to Seaford town centre and at the time of our inspection, there were eleven people living at the home.

Wynford House is a care home. People in care homes receive accommodation and nursing or personal care as a 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.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

People were supported to have their medicines safely. Risks were assessed and plans were in place to manage identified risks. The provider had robust recruitment procedures and there were enough suitable staff to care for people safely.

Staff had received the training and support they needed. People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were having enough to eat and drink and they were supported to choose and prepare their food. Staff supported people to have access to health care services when they needed to.

People had developed positive relationships with staff. They told us, and we observed, that they were happy and comfortable with staff. One relative told us that they knew their relation was happy living at the home because, “They are always smiling and relaxed.” Staff knew the people they were supporting well and spoke about them with affection and respect. People were encouraged to be as independent at possible and their dignity and privacy were protected.

People were supported in a person centred way. Their care records were holistic and reflected their needs and preferences. People were living full and busy lives and were able to access the local community regularly. Wynford House has been operated and developed 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 this service can live as ordinary a life as any citizen

Complaints were recorded and resolved effectively. People were supported to plan for care at the end of their lives.

Systems and processes supported good governance and management at the home. Quality assurance systems were used to drive improvements. People and their relatives spoke highly of the staff and the management of the home. Staff described positive working relationships with other agencies and described an open culture where their views and ideas were welcomed.

Further information is in the detailed findings below.