About the service
Heathcotes Wolsey House is a care home providing accommodation and personal care to four people at the time of the inspection. The service accommodates up to six people living with learning disabilities and autism in one building. This is one of many locations that the provider operates nationally.
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.
There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
Overall, people's medicines were managed safely. We found improvement was required with record keeping. Although daily records showed people had received their medicines, we found gaps in the signing of medication administration records (MARs). We found the hand written MARs did not follow National Institute for Health and Care Excellence (NICE) guidelines and were not robust enough to accurately document administration of medicines.
The provider had systems or processes in place that were operating ineffectively as they failed to enable the registered person to ensure accurate, complete and contemporaneous records were being maintained securely in respect of each person.
People told us they felt safe. Staff had a good understanding of how to safeguard people from abuse.
Person-centred care was promoted and people told us the staff knew them well and responded to their needs in a person-centred way.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The staff and people at the service had prepared a buffet for their Halloween party. People were encouraged to take part in the preparation of the food and had a choice in what they ate. There was a joyous atmosphere.
People told us staff were kind and sensitive. A relative added, “Everybody [management and staff] have gone out their way to make sure [name of person] is well looked after.”
Staff knew people's preferences, likes and dislikes. They provided support in line with legislation, standards and guidance to achieve effective outcomes.
Staff said they were happy working at the service and spoke positively about the management team. Comments included, “We have a good team and [name of manager] is good” and “The atmosphere is good in the home and residents are happy here. I would recommend this home to a family member.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 09/11/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service was registered.
We have identified one breach in relation to regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The registered person had systems or processes in place that were operating ineffectively as they failed to enable the registered person to ensure accurate, complete and contemporaneous records were being maintained securely.
Please see the action we have told the provider to take at the end of this report.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.