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Inspection Summary


Overall summary & rating

Good

Updated 9 September 2016

We inspected Winray Care Housing on 3 and 5 August 2016. This was an announced inspection. We informed the provider 48 hours in advance of our visit that we would be inspecting. This was to ensure there was somebody at the location to facilitate our inspection.

Winray Care Housing is a care agency with three supported living schemes. It provides care and support to people in a supported living setting, specifically for people with learning disabilities. At the time of our inspection, the service was caring for seven people across three schemes. We visited one of these schemes as part of our inspection.

There was a registered manager in place at the time of our inspection. 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.

Systems were in place to ensure that people using the service were safe. Care staff had undertaken training about safeguarding adults and had a good understanding about safeguarding principles and how to raise an alert.

Risk assessments were carried out and were robust and detailed. Risk assessments were updated in line with people’s changing needs.

Medicines were managed safely for people. Effective systems for the management, administration, storage, and disposal of medicines were in place.

Care staff were aware of their responsibilities under the Mental Capacity Act 2005 and how to ensure people using the service were given support to make decisions. Care staff were mindful of consent and ensuring that people were given autonomy and respect. The service was aware of its responsibility to inform CQC of any Deprivation of Liberty authorisations.

Care staff received relevant training to their role as well as an induction programme and we saw records of robust recruitment. Relevant checks had been carried out before staff commenced employment.

Staff appraisal, training, and supervision supported them in their role. Care staff understood best practice guidance and implemented them to meet the needs of people. The registered manager supported staff so that they were effective in their role to care for people and deliver quality care.

People had access to health care services to meet their needs and professional guidance was implemented to maintain their health. Referrals were made to health professionals when needed and visits to and from health professionals were recorded.

Care plans were detailed and person centred and people were involved in their care planning and decision making. Staff knew people well, were aware of their personal histories, and understood their likes and dislikes. Staff were aware of people’s communication needs and adapted their communication methods accordingly.

Care staff provided care and support to people in a way which respected their dignity and privacy and people using the service told us about ways in which this was upheld.

The registered manager for the service had a good relationship with staff and the people using the service and their relatives. There was open communications between all parties.

The service had quality assurance methods in place.

Inspection areas

Safe

Good

Updated 9 September 2016

The service was safe. Staff were able to explain and identify what constituted abuse and what action they would take to raise concerns.

Risks assessments were in place and were robust.

Staffing levels were in line with people's needs and staff cover arrangements were effective.

Medicines were administered and recorded safely. People were given their prescribed medicines and any refusals or side effects were documented.

Recruitment records demonstrated that there were systems in place to ensure staff were suitable to work with vulnerable people.

Effective

Good

Updated 9 September 2016

The service was effective. Staff took part in an induction when they joined the service and received regular training and supervision with their manager.

Staff demonstrated a good understanding of the Mental Capacity Act (2005) and put into practice the need for consent.

People were supported with meal preparation and had a good understanding of people's individual preferences and nutritional needs.

People had access to health professionals and referrals were made where appropriate.

Caring

Good

Updated 9 September 2016

The service was caring. Staff developed positive and caring relationships with people using the service.

The service supported people to express their views and be actively involved in making decisions about their care.

People's privacy and dignity was respected and promoted and people's independence was encouraged.

Responsive

Good

Updated 9 September 2016

The service was responsive. People received personalised care that was responsive to their needs.

People were supported to follow their interests and take part in activities on a daily basis.

Concerns and complaints were encouraged and responded to. People's relatives were encouraged to provide feedback.

Well-led

Good

Updated 9 September 2016

The service was well led and promoted a positive culture and working environment.

Quality assurance practices were carried out and the service was able to monitor the quality of care provided.

The registered manager supported staff and had open communication with them, as well as people using the service and their relatives.