29 March 2023
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
This inspection was carried out by an inspector.
Service and service type
United Response – 60 Woodland Way is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. Inspection activity started on 9 March 2023 and ended on 10 March 2023. We visited the care home on the first day of this inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We received email feedback from 2 community health and social professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We met and engaged with 3 people who lived at the care home and spoke in-person with 3 visitors, including 2 relatives and a local authority social worker. We also talked with the registered manager and 3 support workers who worked at the care home.
We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not verbally communicate with us.
We received email feedback from 1 relative in relation to their experience and views about the care home.
We reviewed a range of records. They included 3 people’s care and risk management plans, and 2 staff files in relation to their recruitment. We also checked a variety of records relating to the management of the service, including staff rotas, training, multiple medicines records and provider level audits.
We continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection. This included staff training and supervision. We received the information which was used as part of our inspection.
29 March 2023
About the service
United Response – 60 Woodland Way is a residential ‘care home’ providing personal care and support to up to 6 people. The service provides support to people with a learning disability and autistic people. Some people were also living with dementia or had mental health care needs. At the time of our inspection there were 6 older people living at the care home. The care home accommodates people in 1 adapted building.
People’s experience of using this service and what we found
Relatives and community health and social care professionals spoke positively about the standard of care provided at United Response – 60 Woodland Way. A relative told us, “I know my [family member] is happy living here. They [staff] look after all the people living here extremely well.” A community social care professional added, “I would not hesitate to recommend this place to any mature person with a learning disability to live.”
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
People received a service that was safe for them to live in and for staff to work. The service quality was reviewed regularly, and appropriate changes made to improve people’s care and support if required. This was in a way that suited people best. The home had well-established working partnerships that promoted people’s participation and reduced the danger of social isolation.
Staff were appropriately recruited and trained and there were enough of them to support people to live in a safe way, whilst enjoying their lives. Risks to people and staff were assessed, monitored and reviewed. Complaints, concerns, accidents, incidents and safeguarding issues were appropriately reported, investigated and recorded. Staff were trained staff to safely administer people’s medicines.
The home’s culture was positive, open, and honest, with leadership and management that was clearly identifiable and transparent. Staff were aware of and followed the provider’s vision and values which were clearly defined. Staff knew their responsibilities, accountability and were happy to take responsibility and report any concerns they may have.
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.
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 good (published 12 August 2017).
Why we inspected
We undertook this inspection to check whether the service was continuing to provide a good rated service to people.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for United Response – 60 Woodland Way at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.