Background to this inspection
Updated
15 December 2021
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
The inspection was carried out by one inspector.
Service and service type
Warwick Manor provides care and support to people living in two ‘supported living’ settings, so 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 only.
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 of notice for the inspection. This was because we needed to be sure the registered manager would be in the office to support the inspection.
Inspection activity started on 30 September 2021 and ended on 2 November 2021. We visited the office location on 19 October 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authorities 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 two people who used the service and three relatives about their experience of the care provided. We also spoke with four professionals who work with the service and ten members of staff including: the registered manager, service manager, deputy manager and seven support workers. In addition, we received written feedback from a further six professionals and nine support workers.
We reviewed a range of records including care, medicine and financial records for six people using the service. We also looked at records relating to the management of the service. These included staff records, compliments, audits and meeting minutes; so we could corroborate our findings and ensure the care and support being provided to people were appropriate for them.
Updated
15 December 2021
About the service:
Warwick Manor provides care and support to people living across two 'supported living' settings, so that they can live as independently as possible. People's care and housing were provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support only.
Not everyone living at Warwick Manor received a 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.
At the time of this inspection eight adults were living at the service who had a range of needs including learning disabilities, autism and mental health. Of these, six people were receiving personal care.
People’s experience of using this service and what we found
Feedback from people, relatives and professionals who worked closely with the service, was overwhelmingly positive and remarkably consistent. For example, one professional told us, ‘I have every respect for all the staff I work with and total confidence in the management team’. Another added, ‘The service is person centred, supporting people with meaningful activities that are of interest to them’. A tremendous amount of praise was also directed at the registered manager who was described as, ‘Very engaging.” And, “Outstanding.”
We (CQC) 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 CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture:
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.
People’s rights were respected and upheld; an equality, diversity and human rights approach to supporting people’s privacy and dignity was well embedded in the service.
Staff had the right training to keep people safe from abuse and avoidable harm. They worked with relevant professionals to ensure people’s health care needs were always met.
People received individualised care and support from a team of highly motivated and experienced staff whom they had bonded with and trusted. Staff effectively and consistently supported people to increase their independence and to achieve their dreams interests and aspirations.
Distinctive leadership ensured there was a strong, visible person-centred culture, which enabled people to lead full and meaningful lives. The service was innovative and dedicated to ensuring continuous quality improvement to make a real difference for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 July 2020 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.