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Cambridgeshire County Council - 8b Wagstaff Close Cambridge Good

Reports


Inspection carried out on 8 November 2019

During a routine inspection

About the service

Cambridgeshire County Council 8b Wagstaff Close is a supported living service providing personal care to people with learning disabilities. At the time of our inspection two people were receiving personal care. The people lived together in one house and staff support was provided for 24 hours each day.

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.

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

People were safe using the service because staff knew what they were doing, they had been trained and the building they lived in was secure. There were enough staff, and the then registered manager also visited people regularly.

People told us they always received their medicines and that staff knew how these should be given. Medicine records were completed accurately and with enough detail. Staff supported people with meals and drinks. Staff took action to reduce the risks of spreading infection. Staff followed advice from health care professionals and made sure they asked people’s consent before caring for them.

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.

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 liked the staff that cared for them. People told us that staff were “nice”, and “lovely”. They went on to tell us that staff supported them to live as they wanted. Staff were kind and caring, they involved people in their care and made sure people’s privacy was respected. Staff worked well together, they understood the service’s aim to deliver high quality care, which helped people to continue to live in their own homes.

Systems to monitor how well the service was operating were carried out well. Where concerns were identified, the registered manager followed this up to make sure action was taken to rectify the issue.

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 17 May 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 10 April 2017

During a routine inspection

Cambridgeshire County Council - 8b Wagstaff Close is a supported living service. At the time of our inspection the staff provided personal care and support to two people who had learning and physical disabilities. The people lived together in one house and staff support was provided for 24 hours each day. Care was commissioned and provided by the local authority.

At our last inspection, on 11 February 2015, the service was rated as good. At this inspection we found the service remained good.

People were cared for by staff who provided care and support that ensured people's safety and welfare and took into account each person’s individual preferences. People were supported to manage their medicines safely. People were cared for by staff who had been recruited and employed only after appropriate checks had been completed.

There were sufficient staff available safely meet people’s needs and support them with a variety of activities. Staff were sufficiently skilled, experienced and supported to enable them to meet people's needs effectively.

People were effectively supported with decision making and supported to have as much choice and control of their lives as possible. People were supported to maintain a balanced diet with suitable food and fluid. People were supported to access healthcare when they required it.

People received care and support from staff who were caring, respectful and friendly. Staff treated people with respect and dignity. Staff knew the people they supported well, and understood, and met, their individual preferences and support needs. People’s care plans provided staff with sufficient guidance to provide consistent care to each person.

Staff supported people to maintain relationships that were important to them. People were encouraged to access the community and develop individual interests and hobbies. Staff supported people to maintain existing, relationships that were important to them.

The provider continued to have a robust complaints procedure in place. The service was well managed. There were effective systems in place to monitor the quality of the service people received.

Inspection carried out on 11 February 2015

During a routine inspection

Cambridgeshire County Council - 8b Wagstaff Close is a supported living service. At the time of our inspection the staff provided personal care and support to three people who had learning, and in some cases, physical disabilities. The people lived together in one house and staff support was provided for 24 hours each day. Care was commissioned and provided by the local authority.

This announced inspection took place on 11 February 2015. We told the provider two days before our visit that we would be coming. We did this because the registered manager is sometimes out of the office at other services that they manage. We needed to be sure they would be present for the inspection. At our previous inspection on 17 December 2013 we found the provider was meeting all the regulations we looked at.

People received care and support that met their assessed needs and took into account each person’s individual preferences. There were systems in place to ensure people’s safety was effectively managed. Care records were detailed and provided staff with sufficient guidance to provide consistent care and support to each person. This helped staff to ensure people’s needs were met and their independence maintained. People were encouraged to access the community and develop and or maintain interests and hobbies. Staff supported people to build new, and maintain existing, relationships that were important to them.

People were supported to express their views and be as independent as possible. People’s rights to make decisions about their care and support were respected.

The CQC monitors the operations of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) which applies to care services. We found that people’s rights were being protected because DoLS applications were in progress and were being submitted to the authorising body.

People received care and support from staff who were kind, compassionate, caring and respectful. Staff members were well trained and well supported by their managers. Staff knew the people they supported well, and understood, and met, their individual preferences and support needs. The provider’s recruitment process was robust and included obtaining satisfactory pre-employment checks. This ensured that only suitable staff were employed by the provider. There were sufficient staff available to meet people’s needs.

The service had a registered manager in place. 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.

We found the service was well managed. People receiving a service and those involved with their care were encouraged to share their views about the quality of the service provided and these were acted on. We found there were effective systems in place to monitor the quality of the service people received.

Inspection carried out on 17 December 2013

During a routine inspection

People that we met during our inspection on 17 December 2013 were not able to tell us about the care and support they received whilst living in the home, due to their complex needs. However, observations made during our visit showed that people were satisfied and happy with the care and the attention they received from care staff.

Care and support was being regularly reviewed to ensure that peoples� needs were being met. There was evidence of people�s involvement in the planning of their care and support.

Staff were trained in the safe administration of medication. Records of administration were accurately completed.

Staff had received regular supervision. Staff training arrangements were in place that ensured staff delivered safe care and support to people.

Quality assurance procedures were in place to monitor the running of the service and people using the service were able to raise any issues and concerns with the management team.

Inspection carried out on 14 March 2013

During an inspection to make sure that the improvements required had been made

During our inspection, in September 2012, we found that improvements were needed and made compliance actions regarding; the provision of healthcare guidelines for people using the service, appropriate levels of staffing to meet peoples care and support needs, regular supervision sessions for staff and the accurate recording regarding the staff roster and the administration of medication. The provider sent us an �Action plan� in October 2012 stating how they would be making improvements regarding the compliance actions that were made.

We carried out this inspection, on 14 March 2013, to check if the improvements had been made and the provider was compliant with the regulations. During this inspection, we spent time at the service talking with the manager, speaking with staff and looking at records to check compliance.

Inspection carried out on 13 September 2012

During a routine inspection

During our visit we spoke to two of the three people being provided with support who communicated through reduced speech and a range of hand signs and facial expressions. Two people told us that they were satisfied with their care and support were happy with the member of staff who was supporting them when during our visit.

People were relaxed and confident and were able to inform staff what support they preferred and when they required this support. We observed that people were treated with respect by staff and were empowered by the sensitive and practical approach that staff offered.