Background to this inspection
Updated
13 June 2023
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 Health and Social Care Act 2008.
Inspection team
One inspector carried out this inspection
Service and Service type
118 Widmore Road is a respite care service. It provides people with respite accommodation and personal care. People receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post. The current manager had applied to CQC to become the registered manager for the service.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection.
What we did before inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with 2 people who used the service and 4 people’s relatives about their experience of the care provided. We spoke with 2 members of staff, the manager and the locality manager. We reviewed a range of records. These included 3 people’s care records and medication records. We looked at staff records in relation to recruitment, training, supervision and other records relating to the management of the service, including policies and procedures and quality assurance records.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
13 June 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
118 Widmore Road provides a respite accommodation and personal care for up to 10 people with learning disabilities at any one time. At the time of our inspection 2 people were on a respite placement at the service.
People’s experience of using this service and what we found
Right support
We found the outcomes for people using this service reflected the principles and values of Right support, right care, right culture. People’s independence was promoted. Their care and support needs were assessed before they started to use the service. Risks to people had been assessed to ensure their needs were met safely. People’s medicines were managed safely. 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.
Right care
People received kind and compassionate care. Staff understood and responded to people’s individual needs. Staff supported people to achieve their aspirations and goals. Staff supported people to take part in activities and pursue their interests in their local area. There was a complaints procedure in place in formats that people could understand. People had access to health care professionals when they needed them.
Right culture
People received good quality care because staff were trained in areas related to their individual needs. Staff received regular supervision from the manager. People and those important to them were involved in planning their care. Staff protected and respected people’s privacy and dignity. People, their relatives and staff views were considered through surveys and meetings.
The provider had safeguarding and whistle blowing procedures in place and staff had a clear understanding of these. Robust recruitment checks had taken place before staff started working at the service. There were enough staff available to meet people’s needs. Staff followed government guidance in relation to infection prevention and control.
The manager and staff worked in partnership with health and social care providers to deliver an effective service. There were systems in place to monitor the quality and safety of the service and any learning was identified and acted on. Staff said they received good support from the manager.
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
This service was registered with us on 13 May 2021, and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.