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1-4 Windsor Drive Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 December 2018

What life is like for people using this service:

• People were supported by staff who were kind and affectionate and knew people’s needs well. Every person was calm during our inspection, some people told us they were happy, other people made sounds or facial expressions that indicated they were happy.

• People lived in a service that was homely, with freshly cooked food and a range of drinks on offer. People’s rooms were comfortable and reflected people’s character. The communal areas needed some redecoration and there were plans for wider refurbishment.

• Care staff felt supported and were receiving supervision. They were also supported through the provision of relevant training so they could effectively meet people’s needs.

• The service was linked in with health professionals who had regard for the service. Professionals we spoke with said their advice around meeting people’s health needs was followed.

• Where people did not have capacity to make decisions, they were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

• Care records and risk assessments were not always up to date with recent information and had conflicting information about people’s care needs and how to manage risks. Care staff knew people well enough to support them with distressed or self-injurious behaviours but the records did not reflect this.

• The provider had recently recruited a new manager as the longstanding registered manager was leaving. People were sad to see them go and some support had been provided around the changes taking place in the service for people.

• There were enough staff to meet people’s basic needs but people could have accessed the facilities in the local community more. We saw some people going out but not everyone had the same opportunities as others because of transport difficulties.

• Staff knew what potential abuse might look like and how to report it. Medicines were managed safely. Building checks were completed regularly.

• We found one breach in relation to legal requirements in good governance. More information is available in the detailed findings below.

Rating at last inspection: Requires Improvement, the last report was published on 18 July 2018.

About the service: 1-4 Windsor drive (referred to in this report as the service) is a residential care home in a rural setting that was providing accommodation and personal care to 11 people with support needs around physical and learning disabilities and people with autism at the time of the inspection.

Why we inspected: This was a planned, scheduled inspection based on the previous rating.

Enforcement: The provider is required to send us an action plan addressing the concerns we found at this inspection regarding the breach of regulation we found, within the timeframe we specify.

Follow up: We will meet with the provider after an action plan has been sent to us to discuss the improvements they are going to make.

Inspection areas

Safe

Requires improvement

Updated 19 December 2018

The service was not consistently safe

Details are in our findings below.

Effective

Good

Updated 19 December 2018

The service was effective.

Details are in our findings below.

Caring

Good

Updated 19 December 2018

The service was caring.

Details are in our findings below.

Responsive

Requires improvement

Updated 19 December 2018

The service was not consistently responsive.

Details are in the findings below.

Well-led

Requires improvement

Updated 19 December 2018

The service was not consistently well-led.

Details are in the findings below.