244 Wootton Road

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

Improvements had been made in the governance of the service to ensure it was robust and effective in day-to-day quality assurance. Additional audits and monitoring tools had been implemented to ensure that areas of concern raised during the last inspection had been addressed.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. We received overwhelming positive feedback regarding the registered manager and deputy manager from staff. One staff member said, “I am always supported by the management team and have been supported with additional training for my role.”

The provider fostered a positive culture where people felt they could speak up and their voice would be heard. Staff said that they felt able to share their views and raise any concerns they may have. One staff member told us, “I can always speak with my manager.”

The provider had a whistle-blowing policy. This meant that staff knew the actions they should take if their concerns about people’s safety and wellbeing were not addressed by leaders.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. 244 Wootton Road had a diverse workforce and all the staff we spoke with told us they felt valued, respected and well supported by the registered manager.

Staff received training in equality and diversity. This meant staff had an understanding about discrimination and anti-discriminatory practice.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate. The registered manager, deputy manager and staffing team had made significant improvements regarding the concerns found at the previous inspection.

Additional audits and checks had been introduced to strengthen their monitoring of records and documentation; however, some additional improvement was required in relation to the monitoring of daily care records.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement. We saw evidence of partnership working with GP's, learning disability nurses and SALT team.

People were supported to access the community as they wished, including taking the bus or the train to participate in activities further away from the home. We received positive feedback from relatives with one person saying, “[they] go out a lot and does a lot of activities.”

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research. The provider had a quarterly lessons learnt newsletter which they shared amongst all of the services. This included a range of different topics and updates. Since our last inspection changes had been made to address the shortfalls found in the auditing systems relating to lessons learnt from accidents and incidents.