Archived: The Papworth Trust Centre Waveney

Updated 28 September 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 was planned to check whether the provider is 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.

This announced comprehensive inspection on 15 and 17 August 2018, was carried out by one inspector. The provider was given 48 hours’ notice because it is a small service and we wanted to be certain the registered manager and key staff would be available during our inspection. We also wanted to give them sufficient time to make arrangements with people so that we could visit them in their homes to find out about their experience of the service.

As part of our inspection planning, we requested that the provider complete 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. This was received from the provider. We also reviewed information we held about the service including feedback sent to us from other stakeholders, for example the local authority and members of the public. Providers are required to notify the Care Quality Commission (CQC) about events and incidents that occur including unexpected deaths, injuries to people receiving care and safeguarding matters. We reviewed the notifications the provider had sent us.

The inspector visited the office location on 15 August 2018. We looked at records relating to the management of the service, staff recruitment and training, and systems for monitoring the quality of the service.

On 17 June 2018, with their permission, we visited two people in their home and spoke to one relative. We reviewed people’s care plans which were kept in their home. We also spoke with two support workers. Some people had complex needs, which meant they could not always tell us about their experiences. They communicated with us in different ways, such as facial expressions, signs and gestures. We observed the way people interacted with the management team and support workers.

Since the inspection we have received electronic communication from one support worker.

Updated 28 September 2018

The Papworth Trust Centre Waveney is a domiciliary care agency. It provides personal care to people who live in their own houses or flats. Support is provided to adults with autism and other learning difficulties. People’s care and housing were provided under separate contractual agreements. At the time of our inspection support was being provided to 12 people.

At our last inspection we rated the service as Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

The service has been developed 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. By following these principles, services can support people with learning disabilities and autism to live a fulfilled and meaningful life.

Systems were in place to help safeguard people from abuse. Staff knew how to identify signs of abuse and what action to take to protect people they supported. Risk assessments had been completed to show how people should be supported with everyday tasks, while promoting their independence. Recruitment checks had been carried out to ensure staff were suitable to work with vulnerable people. People were looked after by small teams of staff who were committed to providing support in a person-centred and caring way.

Staff had undergone training to ensure they had the knowledge and skills to support people safely. All staff received regular supervision. This gave them the opportunity to discuss their work, reflect on what was working well for the person they supported and plan any changes that were needed.

Medicines were managed safely. Staff had undergone training and received regular competency checks. Regular audits were carried out to ensure medicines were being administered correctly.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff worked with health and social care professionals to ensure people were supported to maintain good health and remain as independent as possible. People's support plans contained detailed information about their preferred routines, likes and dislikes and how they wished to be supported. People and their families and advocates, where appropriate, were involved with planning and reviewing their care. This ensured it was tailored to meet their needs.

The service was well-managed. The manager provided good leadership of the service and was committed to maintaining and improving standards. Audits and quality checks were undertaken on a regular basis and any issues or concerns addressed with appropriate actions. The manager had also developed an action plan to support improvement.

Further information is in the detailed findings below