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Wentworth Close Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 February 2020

About the service

Wentworth Close is a residential care home that provides accommodation and personal care for up to four people who have learning disabilities and autism. There were four people using the service at the time of inspection. Some had specialist needs related to Autism and behaviours that challenged. People had different communication needs. Most had limited verbal communication and used gestures and body language to make their needs known. The organisation also runs other care homes locally.

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

The registered manager was also the manager of another care home within the organisation and he divided his time between each home. A specialist senior support worker was responsible for the day to day running of the home in his absence.

Although there was generally good communication between senior management, information about one person’s health needs had not been communicated well and therefore not treated as urgent. Feedback from some health professionals highlighted a need for communication to improve. The registered manager responded well to this and systems were immediately set up to improve communication.

There were shortfalls in some areas of record keeping. One person had a health need and there was no risk assessment or care plan to guide staff on how to support the person. Although staff spoke to us about providing person centred care, daily records did not always demonstrate this. It was not evident people had opportunities to go out at the weekends as staff levels did not allow for this to happen.

The service applied the principles and values of Registering the Right Support and other best practice guidance. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. They were encouraged to take part in daily living tasks with support from staff in areas such as laundry, taking dishes to the kitchen and putting their laundry away.

People were supported to maintain their own interests. Staff supported people to take part in choosing activities to meet their individual needs and wishes. One person liked to listen to his record player. Others chose activities including, bowling, using cafes and restaurants, walks in the park and trips to places of interest. Music sessions and aromatherapy was provided at Wentworth.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns. The home was clean and tidy throughout. Recruitment procedures ensured only suitable staff worked at the service.

Some of the staff knew people from previous placements and had a very good knowledge of them as individuals. People’s care plans were assessed and reviewed regularly. A social care professional told us the,

Staff understood the risks associated with the people they supported. Risk assessments provided further guidance for staff about individual and environmental risks and there were positive behavioural support plans to guide staff in supporting people whose behaviours were challenging. People were supported to receive their medicines safely. Where appropriate, staff supported people to attend health appointments, such as the GP or dentist and appointments for specialist advice and support.

Staff received training that helped them to deliver the care and suppor

Inspection areas

Safe

Requires improvement

Updated 22 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 22 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 22 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 February 2020

The service was not always well-led.

Details are in our well-Led findings below.