Background to this inspection
Updated
21 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Weston Villa is a ‘care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection because some of the people would benefit from notice and staff support prior to the visit.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch Northamptonshire, Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service about the care provided. We spoke with the registered manager, the care coordinator and three care and support workers.
We reviewed a range of records. This included two peoples care records and multiple medication records. We looked at records in relation to training and staff supervision. A variety of records relating to the environment and the management of the service were reviewed.
After the inspection
Following the inspection we asked the registered manager to send us further records to support the inspection. We continued to seek clarification from the registered manager to validate evidence found. We looked at end of life records, a statement from a relative, photographic evidence of activity in the community, and staff and service award certificates.
Updated
21 November 2019
About the service
Weston Villa is a care home service that is registered to provide care for up to eight people with learning disabilities and autistic spectrum disorder. At the time of the inspection there were eight people living in the home.
The care home accommodates people across two separate buildings. Weston Villa has four self-contained flats which accommodates four individuals, and the second building known as Henson Court comprises of a communal lounge, kitchen and sensory room with individual bedrooms with en-suite facilities, this also accommodates four people. Weston Villa and Henson Court are registered as one service; in the report we will talk about the service as one location.
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
People were safe, risk assessments were in place and they were reviewed regularly. Staff had received training in safeguarding and could recognise signs of abuse and knew when and how to report it.
Staff were recruited safely, recruitment procedures ensured only suitable staff were employed.
Medicines were managed, stored and disposed of safely. Senior staff were trained and responsible for giving people their medicine.
The home was clean and well maintained and people were protected from the spread of infection.
People received personalised care that supported their choices, lifestyle, religion and culture as well as their personal and health care needs. People were reaching their personal goals and achieving their ambitions.
Information was given to people in a format that met their communication needs.
People were supported to access health care services when needed and the staff and the management team worked in partnership with healthcare professionals.
Staff were trained and had the skills needed to do their job. They received regular training updates and support and were well supervised.
Pre-admission assessments and visits took place to ensure the service could meet people's needs prior to them moving into the home.
A complaints procedure was in place and complaints were responded to in line with the provider’s policy.
The provider, management team and staff had developed an open and honest culture and were knowledgeable about their responsibilities.
The registered manager and provider had good oversight of the service from the quality monitoring processes in place.
Learning and skill development was actively encouraged, and staff felt confident in their roles.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.