Background to this inspection
Updated
13 July 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 12 and 13 June 2018 and was unannounced.
The inspection was undertaken by one adult social care inspector.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We looked at all the information which the Care Quality Commission already held on the provider. We also invited the local authority to provide us with any information they held about Winwick Park. We took any information provided to us into account.
During the site visit we spoke with the provider’s adult service manager; operations manager; integrated practitioner; the registered manager of Winwick Park; the deputy manager; a senior support worker and four support workers.
We also contacted the parents of three people using the service by telephone as people using the service were unable to provide direct verbal feedback on their experience of the service.
We undertook a Short Observational Framework for Inspection (SOFI) observation during lunch time. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We reverted to direct observation as this process had to be terminated to respect the needs of the people using the service, their preferred routines and their reliance on intensive staff support.
We looked at a range of records including two care plans belonging to people who used the service. This process is called pathway tracking and enables us to judge how well the service understand and plan to meet people's care needs and manage any risks to people's health and well-being.
Examples of other records viewed included: policies and procedures; three staff files; minutes of meetings; complaint and safeguarding records; medication; rotas; staff training; maintenance checks and audit documentation.
Updated
13 July 2018
The inspection took place on the 12 and 13 June 2018 and was unannounced.
This was the first inspection of Winwick Park since it was registered with the Care Quality Commission in February 2017.
Winwick Park is a 'care home' operated by Bright Futures Care Limited (the provider). 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 care home provides both accommodation and personal care for up to three adults with sensory impairments, learning disabilities and / or autistic spectrum disorder needs. At the time of our inspection the service was accommodating two people.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism who used the service could live as ordinary a life as any citizen.
The care home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.
During our two-day inspection, we spoke with relatives and staff and undertook discreet observations of the standard of care provided to people living in the care home.
Throughout our inspection, we observed that staff treated people living in the care home with dignity and respect and were attentive and responsive to people’s needs. People using the service were seen to be relaxed in the presence of staff, comfortable in their home environment and presented as well-groomed and content.
We found that assessment, care and support plans and risk management systems were in place which confirmed the holistic needs of people using the service were identified, planned for and kept under review. This helped staff to be aware of the support needs of the people they supported and how best to support them.
People had access to a range of health and social care professionals subject to their individual needs and medication was ordered, administered and recorded correctly.
Induction, mandatory and service specific training had been developed to help staff understand their roles and responsibilities. Policies and procedures relating to the Mental Capacity Act and Deprivation of Liberty Safeguards had also been produced to provide guidance for staff.
Systems had been established to ensure that staff working in the care home had been correctly recruited and to safeguard people from abuse. A complaints policy and process was also in place to ensure any concerns and complaints were listened to and acted upon.
A range of auditing systems had been developed by the provider so that key aspects of the service could be monitored effectively.