2-4 Watcombe Circus

Updated 9 March 2022

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.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 25 February 2022 and was unannounced.

Updated 9 March 2022

This inspection visit took place on 4 May 2018 and was unannounced. The accommodation at 2-4 Watcombe Circus is situated in Nottingham. It comprises of two large houses which have been joined together. Each person has their own bedroom and there were shared toileting and bathing facilities. There are shared spaces on the ground floor which include two lounges, a dining room and a kitchen. The home is registered for twelve people and at the time of our inspection twelve people were living in the home.

2-4 Watcombe Circus is a care service and was registered before the introduction of the Registering the Right Support and other best practice guidance. However the provider aimed to develop these values which include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the last inspection in April 2017 the service was rated requires improvement. At this inspection we found improvements had been made in the areas effective and well led, however further improvements are still required in the ‘Well-led’ section. The inspection was completed by one inspector

2-4 Watcombe Circus is in the process of changing the registered manager. We spoke with the temporary manager during the inspection. The new manager was to commence their role over the next month and had begun their registration with us. 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.

People were supported by sufficient staff who had received training that reflected their role. When people required additional support with an activity or appointments this was arranged and reflected in the staffing requirements.

Medicines were managed safety and there was a range of health care professionals involved in supporting people’s wellbeing and ongoing health needs. Risk assessments had been completed and guidance provided including evacuating the building in an emergency.

Lessons had been learnt following events to reduce the risk of reoccurrence. Safeguards had been raised and staff understood the importance of protecting people from harm. The care plans were person centred and included care needs and preferences. Information was offered in alternative formats and ranges of communicating methods were available. People were offered opportunities to follow their interest and social time.

Staff had established positive relationship with people. People’s independence was encouraged and this was promoted with meals and daily living skills. When people required support this was done with their dignity in mind and respect of their wishes. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

There was a complaints policy available. The provider understood their requirements under the regulations and sent us notifications about events and incidents. They had displayed their rating at the home and on the website.