Webb House

Updated 22 March 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was an unannounced inspection on 15 and 17 February 2017. It was undertaken by an inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the home, including previous inspection reports. We contacted the local authority to obtain their views about the support provided. We considered the information which had been shared with us by the local authority and other people, looked at safeguarding alerts which had been made and notifications which had been submitted. A notification is information about important events which the provider is required to tell us about by law.

During the inspection, we spoke with ten people who lived at the home, one visiting relative, and seven staff members including the deputy manager. We also spoke with one healthcare professional who visited the service.

We also looked at five people’s support plans and risk assessments along with other relevant documentation to support our findings. We also ‘pathway tracked’ people living at the home. This is when we looked at their support documentation in depth and obtained their views on their life at the home. It is an important part of our inspection, as it allowed us to capture information about a sample of people receiving support.

We reviewed other records relating to the management of the home. These included staff files, staff recruitment, training and supervision records, medicine records, complaint records, accidents and incidents, quality audits and policies and procedures.

Updated 22 March 2017

Webb House provides accommodation for up to 20 people. There were 17 people living at the home at the time of the inspection. People living at Webb House had a range of learning and physical disabilities including multiple sclerosis, stroke and acquired brain injuries following accidents. Some people had lived with their disability since birth and a number had lived in care all of their adult lives. Accommodation was provided over two floors with a passenger lift that provided level access to all parts of the home. The home was built on a slope which meant both floors had level access outside.

There is a registered manager at the home. 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. The registered manager is also the registered manager for two other homes and spends time at each location during the week. The deputy manager was responsible for the day to day running of the home and was present throughout the inspection.

We carried out an inspection on 16 and 17 December 2015 where we found improvements were required in relation to the quality assurance system and maintaining accurate records. The provider sent us an action plan and told us they would address these issues by 1 June 2016.

We completed this inspection on 15 and 17 February 2017 and found the provider was meeting the legal requirements that were previously in breach. However, these improvements need to be fully embedded into practice. Some aspects of people’s records needed more detail to demonstrate the full range of support people were given.

People received person-centred care from staff who had a good understanding of them as individuals and of their needs. Staff supported people to maintain and improve their independence and live as full a life as possible. Staff treated people with kindness and compassion and were respectful of people’s individual choices. People were supported to set and achieve their own goals and maintain their own hobbies and interests.

Staff understood the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) had been submitted when required. Staff understood that people had the choice to make unwise decisions and risk assessments were in place to support them to do this. Individual risk assessments were in place and staff understood the risks associated with people they looked after.

Staff understood their responsibilities in protecting people from the risk of abuse. They received regular training and knew how to report any concerns. There were systems in place to ensure people’s medicines were managed safely.

There were enough staff to support people and meet their needs. Recruitment records demonstrated staff had been appropriately employed and were suitable to work with people who used the service. Staff received appropriate training and support to enable them to look after people at Webb House and staff had the skills to perform their roles.

People had their nutritional needs assessed and were supported to maintain a healthy diet of their choice. People were supported to maintain good health and they had access to relevant healthcare professionals when required.

The registered manager and deputy manager had developed an open and positive culture. This was focussed on ensuring people received good, person-centred support that promoted their independence. People and staff spoke highly of them and told us they would always address their concerns. People were actively encouraged to be involved in the day to day running of the home. They were asked for their feedback which was listened to and used to improve and develop the home.