Winray Care Housing

About the service

Winray care housing provides personal care and support in three settings to people with learning disabilities and/or autistic people. Nine people were receiving personal care at the time of the inspection.

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

Right Support

People were not always supported by staff to fulfil their interests.

The service worked with people to plan for when they experienced periods of distress.

People were able to personalise their rooms.

Staff supported people to have their medicines as prescribed. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care

Staff did not always provide care in a respectful manner. In other cases, staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

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.

Right culture

People did not always live empowered lives.

Monitoring systems did not always pick up shortfalls and the provider did not always know when to submit statutory notifications about serious events to the CQC.

Staff and people could feedback about the quality of care and the provider worked with health and social care professionals when things went wrong.

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 7 March 2019).

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding adults from abuse. A decision was made for us to inspect and examine those risks. We also undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

Enforcement and recommendations.

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified a breach in relation to dignity and respect. We made two recommendations about safe recruitment and person-centred care.

Please see the action we have told the provider to take at the end of this report.

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.

• 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.

People’s experience of using this service:

• People were protected against avoidable harm, abuse, neglect and discrimination. The care people received was safe.

• People's risks were assessed, and plans put in place to reduce the risks.

• People's likes and dislikes were assessed and people’s needs were being met

• Relatives provided consistently positive feedback about the care, staff and management. They told us the service was caring.

• People's care was person-centred. The care was designed to ensure people's independence was encouraged.

• People and their relatives were involved in the care planning and review of their care.

• The service had a stable management structure. The provider had implemented systems to ensure they continuously measured the quality of the service.

• The service met the characteristics for a rating of "good" in all the key questions. Therefore, our overall rating for the service after this inspection was "good".

• More information is in our full report.

Rating at last inspection: Good (Report published 9 September 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor the service through the information we receive.

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.