Wellesley Court

Updated 16 February 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 inspection took place on 15 December 2017. The provider was given 48 hours’ notice because the location provides a domiciliary care service we needed to be sure that someone would be in. The inspection team consisted of two inspectors.

Before this inspection, the provider completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We also checked other information we held about the service including previous inspection reports and notifications. A notification is information about important events which the service is required to send us by law.

During the inspection we visited and spoke with six people who were receiving a personal care service. We also spoke with the registered manager, and two care staff. We looked at a range of records which included the care records for four people, medicines records and recruitment records for four care workers. We looked at other records in relation to the management of the service, such as health and safety, minutes of staff meetings and quality assurance records.

The service registered with the Care Quality Commission in January 2017. This was the first ratings inspection undertaken.

Updated 16 February 2018

This inspection took place on the 15 December 2017.

Wellesley Court provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is brought or rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

Not everyone using Wellesley Court receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

Wellesley Court provided a personal care service to people who lived in a complex of private apartments. Whilst not all people needed support with personal care those that did could either choose to make their own arrangements or use the personal care service provided by Wellesley court staff. At the time of our inspection the service was providing personal care to seven older people with a variety of care needs, including people living with physical frailty or memory loss due to the progression of age. Other people who lived at Wellesley Court could receive care and support should they need it in an emergency.

The service had a registered manager. 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 felt safe and they were very much at the heart of the service. People felt staff went the extra mile and were experienced at looking after them. People received excellent care that was based around their individual preferences and which was responsive their needs.

Relevant recruitment checks were conducted before staff started working to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.

People felt they were treated with kindness and said their privacy and dignity was respected.

Staff had an understanding of the Mental Capacity Act (MCA) and were clear that people had the right to make their own choices. Staff sought consent from people before providing care and support.

People were supported to take their medicines safely from suitably trained staff. Risks to people were minimized through risk assessments.

People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes and went out of their way to provide people with what they wanted.

Staff received regular support and one to one sessions or supervision to discuss areas of development. They completed a wide range of training and felt it supported them in their job role.

People were cared for with kindness and compassion. Care plans provided comprehensive information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs.

People were supported and encouraged to make choices and had access to a range of activities. Staff knew what was important to people and encouraged them to be as independent as possible.

A complaints procedure was in place. There were appropriate management arrangements in place. Regular audits of the service were carried out to assess and monitor the quality of the service.