22 November 2018
During a routine inspection
Wainwright Crescent provides step down and respite support for people with mental health conditions. The aim is to support and assist people to manage their mental health and wellbeing, develop their skills and confidence to maintain living in the community. Wainwright Crescent can accommodate a maximum of 12 people. At the time of this inspection there were eleven people using the service. Typically, people can stay at Wainwright Crescent for a maximum of 28 days. However, this can be extended depending on people’s individual circumstances.
Our last inspection of Wainwright Crescent took place on 12 September 2017. The service was rated requires improvement overall with one breach of regulation. We found the service was in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014, safe care and treatment. At this inspection we found sufficient improvements had been made to meet the requirements of this regulation and the service is now rated good overall.
There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 living at the service told us they felt safe. Staff were aware of their responsibilities in protecting people from abuse. We found systems were in place to make sure people received their medicines safely so their health needs were met. With the exception of October and November 2018, regular checks and audits of medicines management were undertaken to make sure full and safe procedures were adhered to. We have made a recommendation about the service’s medicine management policy as this had not been reviewed.
On the day of the inspection we found there were sufficient numbers of staff to meet people’s needs and it was evident that staff had been safely recruited. During the inspection we observed staff treated people with respect and dignity, and staff supported them in a way which met their needs.
We found very clear evidence that people’s care and support was planned and reviewed with them and not for them. The people we spoke with told us the standard of care they received was good. People’s care records contained detailed information and were recovery focussed. The service encouraged people to maintain a healthy diet and worked collaboratively with external services to promote people's wellbeing and positive discharge outcomes. Staff told us they enjoyed working at the service and had received support, training and supervision to help them to carry out their roles effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
People told us staff were caring and kind and as a result of the emotional support they had received from staff, they felt more confident. We saw the service promoted people’s independence by supporting people to manage their own routines, such as cooking, cleaning and washing. People who were assessed as safe to do so were supported to administer their own medicines. People were able to access their local community and the service provided regular opportunities for meaningful and stimulating social diversions, with an emphasis on improving people’s mental well-being.
We found a strong leadership framework in place. This meant there was clear lines of accountability within the organisation and systems which supported the running of the service were well-embedded.