Guardian House

Updated 18 April 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

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. An assistant inspector made telephone calls to staff.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection. Inspection activity started on 20 March 2023 and ended on 28 March 2023. We visited the location’s office on 22 March 2023.

What we did before the inspection

We used information gathered as part of monitoring activity that took place on 25 January 2023 to help plan the inspection and inform our judgements. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person, 1 relative and a social care professional about their experience of the care provided. We spoke with 11 staff including the nominated individual, service lead, registered manager, care coordinators and personal assistants. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed records including 2 people’s care records and medication charts. We looked at 2 staff files relating to recruitment, induction, and supervision and records relating to the management of the service including audits, policies and training records.

Updated 18 April 2023

About the service

Wright Watson Enterprise Centre (Bradnet) is a domiciliary care agency. It provides personal care to people in their own homes and flats At the time of our inspection the service was providing personal care to 5 people. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

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.

The provider had made significant improvements since the last inspection. The changes had led to positive outcomes for people who used the service. Risks to people’s health and safety were assessed and regularly reviewed. Accidents and incidents were closely monitored and there was a culture of learning lessons. Medicines were managed safely.

People received person-centred care and they felt safe and secure. They spoke positively about the care and support provided. Recruitment was managed safely, and people were supported by experienced and consistent staff. Staff received good levels of support, training, and supervision in order to be able to carry out their roles effectively. The provider valued the well-being of the staff team.

The registered manager was approachable and supportive and provided leadership to the team. The culture of the service was open and welcoming, and people were encouraged to express their views. A range of detailed audits and checks were in place to monitor and improve the safety and quality of the service.

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 requires improvement (published 13 March 2020) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended the provider made improvements to staff induction and awareness of safeguarding procedures and monitoring of accidents and incidents. At this inspection we found the provider had acted on these recommendations and made improvements in all the areas identified.

Why we inspected

This inspection was prompted by a review of the information we held about this service. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wright Watson Enterprise Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.