Background to this inspection
Updated
22 August 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was conducted by one inspector.
Service and service type
This service provides care and support to people living in three separate shared houses which were individually named (Gledcliffe, Ashfield and Coach House), so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The service had a manager registered with the Care Quality Commission. 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
We gave a short period notice of the inspection because it is a supported living service where people access the community regularly and therefore we needed to be sure people were in.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with six members of staff including the regional manager, registered manager, senior care workers and care workers.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
22 August 2019
About the service
Woodleigh Care is a supported living service. This service supports up to 15 people with learning disabilities. There were 14 people living at the service at the time of the inspection.
The service comprised three separate houses with communal facilities and easy access to the community. People living at the service had their own tenancy; and received varying levels of support from the provider.
People’s experience of using this service and what we found
Clinical waste was not always disposed of appropriately.
We have made a recommendation relating to the management of clinical waste.
The registered manager obtained feedback from staff and people through surveys, however they were not always analysed or utilised effectively.
We have made a recommendation relating to how feedback is collated and analysed.
People told us they felt safe, and that staff were kind, respectful and ‘like friends’. There were enough staff to meet people’s diverse needs.
Care plans contained good person-centred information and detailed guidelines for staff on how to anticipate people’s needs and ensure restraint was used as a last resort when incidents occurred. People have separate ‘person centred’ support plans however they were not always up to date.
Incidents and accidents were recorded, investigated and analysed appropriately.
People were supported to take their prescribed medicines on time, safely, and people’s physical health and nutritional intake were monitored effectively by staff.
Staff encouraged people to be independent, and people were able to access the community and education as and when they wanted.
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.
There were a range of quality assurance processes in place to monitor and improve service quality. These included internal and external audits.
There were regular meetings and communication between the provider, registered manager, staff and people who used the service.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 23 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.