About the service Woodville Place is a ‘care home’, providing accommodation, nursing and/or personal care for up to four younger adults with sensory impairments, learning disabilities and autistic spectrum disorders. Accommodation was provided across two adjoined houses, over three floors. At the time of the inspection four people were living at the service.
People’s experience of using this service and what we found
Staff were thoroughly inducted into their roles, received regular supervision and supported on a daily basis. However, we noted that training completion statistics required attention. We have made a recommendation regarding training compliance oversight.
Infection prevention and control (IPC) measures were generally in place. Staff were engaged in a regular COVID-19 testing regime, screening procedures were in place for visitors and PPE was accessible and available for staff. We have signposted the provider to some best practice guidance in relation to IPC.
Regulatory compliance certificates were in place. People lived in a safe and secure environment that was well maintained. Health and safety checks were generally completed on a weekly, monthly, quarterly and annual basis. We did note that some weekly checks were missing. This was brought to the managers attention.
Safeguarding and whistleblowing procedures were in place and people were protected from avoidable harm and abuse. 92.3% of staff had completed safeguarding training and staff knew how to escalate any concerns. One relative told us, “There are measures in place to keep [person] safe, the staff really, really care.”
People received a safe level of care that was tailored around their support needs and areas of risk. Care plans and risk assessments contained up to date, consistent and relevant information. People received support from a dedicated team of staff who were familiar with the support that needed to be provided and how risks needed to be managed.
Safe medication practices were in place. Staff received the necessary medication training, medication audits were regularly completed, and staff compliance and competency levels were routinely monitored.
Safe staffing levels and recruitment procedures were in place. People received care and support by a staff team who were suitably recruited into their positions. We observed kind, compassionate and a considerate level of care being provided. It was evident that positive, trusting relationships had developed and people were empowered to live as independently as possible.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the statutory guidance which supports The Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the principles of right support, right care, right culture. People’s choice, control and independence was supported. Personalised care was provided, staff promoted people’s dignity, privacy and human rights and the ethos, values, attitudes and behaviours of leaders and care staff ensured that people using the service lead confident, inclusive and empowered lives.
Overall governance and quality assurance systems and measures were in place. The quality and safety of care was routinely monitored, assessed and developed upon; such measures ensured that a good provision of care was maintained. We did highlight a number of areas that required greater oversight, the manager was responsive to our feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was ‘good’ (published 10 January 2020)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
We looked at infection prevention and control (IPC) measures under the ‘Safe’ key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurances that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to our inspection programme. If we receive any concerning information we may inspect sooner.