Background to this inspection
Updated
30 April 2021
The inspection
This was a targeted inspection to check on a specific concern we had about safeguarding and risk management relating to people's safety and wellbeing
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was undertaken by one inspector.
Service and service type
Walsingham Support – 30 & 32 Church Lane is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager and observed interactions between people and staff. We reviewed risk assessments, meeting minutes, staff supervision and training records and documentation regarding safeguarding referrals made. A range of records relating to infection prevention and control, including policies and procedures and audits were also reviewed.
After the inspection
We spoke with six members of staff, including two interim deputy managers. We continued to seek clarification from the provider to validate evidence found. We also received feedback from the local safeguarding team.
Updated
30 April 2021
About the service: Church Lane is a care home. People in care homes receive accommodation and personal care under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Church lane provides a service for up to 12 adults with a learning disability. At the time of the inspection there were 11 people living at the service. Accommodation is provided in two connected houses and on two floors. People have access to communal areas.
People’s experience of using this service:
¿ Some people who lived at the home were able to communicate verbally but for people who were unable to speak to us we observed staff supported them with a range of communication aids, which included sign language and interpreting people’s body language with regards to meeting their needs and wishes.
¿ People continued to feel safe living at the service. Risks in relation to people’s health, safety and welfare had been identified and action taken where appropriate. Staffing levels were appropriate to meet the needs of the people using the service. Medicines were safely managed. There were systems in place to monitor incidents and accidents and learn from these.
¿ Staff were competent and knew the people they supported well. People’s care, health and cultural needs were identified so staff could meet these. People had their nutritional needs met. People were supported to maintain good health. Staff made referrals to health professionals when required. Staff worked within the principles of the Mental Capacity Act (MCA) 2005 and ensured people consented to their care.
¿ People continued to receive care from staff who were kind and caring. People’s privacy and dignity was protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences. One relative said. “[name] loves living at Church Lane as it feels like their real home with staff that care and keep [name] safe and happy.”
¿ People received care that met their needs. Care plans gave details of how people would like their needs met. People took part in a range of group and one-to-one activities depending on their preferences. Information was displayed on how to make a complaint and in a pictorial format, that could be easily understood. Relatives also told us they knew how to complain.
¿ People, visitors and staff told us the service was well managed and had an open and friendly culture. Staff said the service had a family atmosphere and they felt well-supported. The current manager and staff worked in partnership with other agencies to ensure people got the care and support they needed. One person said, "I think [manager] is a very nice person, I have great respect for job they are doing.”
Rating at last inspection: Good (report published 9 March 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains Good.
Follow up: We will continue to monitor all intelligence received about the service to ensure the next inspection is scheduled accordingly.