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Archived: Winchester House Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 14 December 2019

About the service

Winchester House provides accommodation and personal care for up to 12 people aged between 18 and 65 years, who have a learning disability and autism. At the time of our inspection, 11 people were using the service. Winchester House is one of several small homes owned by Aitch Care Homes (London) Limited.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People’s experience of using this service and what we found

At our last inspection, there was inadequate staffing level in the service, which meant people’s needs were not being consistently met. During this inspection, we found that the provider had made improvements. There were enough staff deployed to meet people’s needs and staff morale had significantly improved.

People were safe at Winchester House. Staff knew their responsibilities in relation to keeping people safe from the risk of abuse.

Risks were appropriately assessed and mitigated to ensure people were safe. Medicines were managed so people received their medicines as prescribed.

The provider continued to operate robust recruitment and selection procedures to make sure staff were suitable and safe to work with people. Staff received training, support and supervision to enable them to carry out their roles safely.

People's care plans clearly detailed their care and support needs. People and their relatives were fully involved with the care planning process. The service had developed care plans which clearly detailed people’s likes, dislikes and preferences. Care had been delivered in line with people’s choices.

People received the support they needed to stay healthy and to access healthcare services. Each person had an up to date support plan, which set out how their care and support needs should be met by staff. These were reviewed regularly.

We observed people’s rights, their dignity and privacy were respected.

Staff supported people to maintain a balanced diet and monitor their nutritional health.

People knew how to complain and felt confident any concerns would be listened and responded to by the provider.

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.

There was a positive leadership in the service. The service was well led by a management team who led by example and had embedded an open and honest culture.

Effective governance systems to monitor performance had been fully embedded into the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 17 December 2018) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor information w

Inspection areas

Safe

Good

Updated 14 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 December 2019

The service was well-led.

Details are in our well-led findings below.