5 Winston Court

Updated 5 December 2018

The inspection:

• We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our 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.

Inspection team:

• Our inspection was completed by two adult social care inspectors.

Service and service type:

• 5 Winston Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service provides accommodation and personal care to adults with learning disabilities or autism spectrum disorder. The care home accommodates eight people in one adapted building.

• 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 using the service can live as ordinary a life as any citizen.

• The service is required to have 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. At the time of our inspection, a manager was registered with us.

Notice of inspection:

• Our inspection was unannounced.

• The inspection site visit was completed on 1 November 2018

What we did:

• Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs). We checked records held by Companies House, the Food Standards Agency and the Information Commissioner’s Office (ICO).

• We asked the service to complete a Provider Information Return. This is 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 spoke with the provider’s head of regulated services, deputy manager, a deputy manager from another location, a health and safety consultant and the provider’s quality lead. We also spoke with three care workers.

• We spoke with four people who used the service and two relatives.

• The registered manager was absent during our inspection site visit.

• We reviewed two people’s care records, medicines administration records and other records about the management of the service.

• After our inspection, we asked the provider to send us further documents and we received and reviewed this information. This evidence was included as part of our inspection.

Updated 5 December 2018

What life was like for people using this service:

• Since our last inspection, the service had improved in several key areas.

• People received safe, compassionate and good quality care.

• Risks from the building and equipment were better managed.

• People were protected against abuse, neglect and discrimination. Staff ensured people’s safety and acted when necessary to prevent any harm.

• Staff knew people well. They had developed good relationships with people. People clearly enjoyed the presence and attention from the staff.

• People were assisted to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems at the service supported this practice. People had an active say in how the service was operated and managed.

• People’s care was personalised to their individual needs.

• The provider had improved processes in place to measure, document, assess and evaluate the quality of care.

• The service met the characteristics for a rating of “good” in all key questions.

• More information about our inspection findings is in the full report.

Rating at last inspection:

• At our last inspection, the service was rated “requires improvement”.

About the service:

• The service provides accommodation and personal care to adults with learning disabilities or autism spectrum disorder. The care home accommodates eight people in one adapted building.

• At the time of our inspection, eight people used the service.

Why we inspected:

• All services rated “requires improvement” are re-inspected within one year of our previously published inspection report.

• This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

• We will continue to monitor the service to ensure that people received safe, high quality care. Further inspections will be planned for future dates.