Background to this inspection
Updated
2 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one adult social care inspector on both days.
Service and service type: Warrington Community Living 53 Twiss Green Lane is a care home. People in care homes receive accommodation and nursing or personal care. Care Quality Commission (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 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 the service 24 hours’ notice of the inspection site visits because it is small and we needed to be sure that they would be in. We also wanted to give the registered manager time to prepare people who use the service for our visit to help reduce anxiety and disruption to their day.
What we did: Our plan took into account information the provider had sent us since the last inspection within their provider information return (PIR). We also considered information about incidents the provider must notify us about, such as abuse; and we looked at issues raised in complaints and how the service responded to them. We obtained information from the local authority commissioners and safeguarding team, Healthwatch and other professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we spoke with two people using the service and two family members to ask their views about their experience of care. We also spoke with the registered manager, assistant manager, team leader and three support staff.
We looked at three people’s care records and a selection of medication and medication administration records (MARs). We looked at other records including quality monitoring records, recruitment and training records for four staff and records of checks carried out on the premises and equipment.
Updated
2 May 2019
About the service: Warrington Community Living, 53 Twiss Green Lane is a home that is registered to accommodate up to four adults with learning disabilities, physical disabilities and/or mental health needs. The home is a four-bedroom bungalow in a residential area of Warrington. At the time of our inspection the service was supporting four people.
People’s experience of using this service:
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; promotion of choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Since the previous inspection a new registered manager has been in post who has worked hard with staff to make improvements to the service. The management team and staff promoted a culture that was person-centred and inclusive. Staff were motivated to deliver care and support that was based on people’s needs and choices. People were treated with kindness, compassion and respect and staff interacted well with people. Staff knew people well and how best to support them in the least restrictive way possible.
The atmosphere within the home was calm, friendly and joyful; people felt relaxed during the inspection process and happily invited us into their home. People were keen to tell us how happy they were and how much they enjoyed living in the home. People were proud to tell us and show us the things they had done since living in the home and spoke positively about the caring approach of the staff team. Strong familiar relationships had been built between staff and people and it was clear that a genuine mutual friendship had been developed.
People told us they felt safe living in the home and family members were confident their loved ones were safe and well looked after. Risks people faced were assessed and those identified were safely managed. Medicines were managed safely by trained staff; appropriate assessments were in place for those who managed their own medicines. Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm. The environment was safe and people had access to appropriate equipment where needed.
Enough suitably qualified and skilled staff were deployed to meet people’s needs. Since the previous inspection the registered manager had worked hard to recruit new staff and ensure required training was up-to-date. Staff told us they received a good level of support from the management team and felt able to approach them at any time.
People’s needs and choices had been assessed and planned for and care plans identified intended outcomes for people and how they were to be met in a way they preferred. Family members told us they felt their loved ones received the right care and support from well-trained staff. People were encouraged and supported to eat and drink well and were supported to access healthcare when needed. Staff worked hard to advocate for people to ensure they received the health care they were entitled to. Staff continuously offered people choice and control and where able to, consented to their care and treatment. Where people lacked capacity to make their own decisions they were made in their best interests in line with the Mental Capacity Act.
People, staff and family members all described the management team as approachable and supportive. The passion, knowledge and experience held by the management team created a relaxed environment for everyone; it was clear that people were put first and staff worked around what they wanted and how they wanted to spend their day. The management team showed a desire to improve on the service and were always looking at ways to do this. Effective systems were in place to check the quality and safety of the service.
Rating at last inspection: Requires Improvement (report published March 2018)
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk