About the service Wall Hill Road is a residential care home providing accommodation and personal care to up to five
people. The service provides support to people with a learning disability and/or autistic people. At the time of our inspection there were four people using the service.
People’s experience of using this service and what we found
People living at Wall Hill Road were treated well and each person's uniqueness and diversity was respected. Staff had an empowering approach towards people, promoting their status as equal citizens. People showed us by their actions they liked the staff members caring for them, were very comfortable in their company and enjoyed interacting with them. Staff members were knowledgeable about what was important to each person and used this information to provide care and support that was meaningful to them.
Staff received the training and support they needed to care for people effectively. People were supported to eat and drink what they wished. A healthy diet was encouraged and people were supported to make their own decisions. Staff used a variety of communication tools and techniques to ensure they constantly sought people's views throughout the day and supported them to make decisions.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Systems were in place to ensure people remained safe. Risks to people were assessed and well managed. Staff supported people to live full and busy lives. Infection control measures were in place to protect people. There were enough staff working at the home and people's medicines were managed safely.
The service was well led by a registered manager and deputy manager who inspired and supported their staff team. They ensured that people, staff and those important to people worked in partnership. The culture of the service empowered people to improve their independence and make their own decisions about how they wanted to spend their time and live their lives.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support:
¿ The model of care and the accommodation maximised people's choice and control, independence and promoted opportunities for inclusion. Each person's accommodation was thoughtfully designed and adapted in partnership with them and their family to ensure it met their needs and preferences.
Right care:
¿ Care is person-centred and promotes people's dignity, privacy and human rights; People were
supported in the way they chose and were treated as an individual by staff. Staff knew people well and understood how to support them. Staff told us about the rapport they had built with people which enabled them to provide the appropriate support even when people were anxious or distressed.
Right culture:
¿ There was a positive, person-centred culture amongst the staff team. It was clear that people living at the home had benefitted from this approach and had experienced positive outcomes. The provider worked collaboratively and in partnership with people using the service and a range of stakeholders. In the staff team there was a culture of listening to people and taking action based upon their feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 16 September 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.