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Wadeville Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 July 2021

About the service

Wadeville is a care home providing care and support to people living with learning disabilities, mental health and physical disabilities across two joined houses. The service was registered to provide support for up to 13 people, there were 11 people using the service at the time of our inspection.

People’s experience of using this service and what we found

Relatives told us they felt their loved ones were safe and happy at the home. The provider had taken action to address the issues we found at the last inspection. Work had been done to improve the cleanliness security and upkeep of the building.

However, we found a small number of fire safety and environmental risks which were acted on promptly following the inspection. The provider had not identified some areas of staff training to meet the specific needs of people using the service. Records did not consistently evidence relatives’ involvement in people’s care where this was appropriate.

Staff understood their roles in safeguarding people from harm. Other risks to people had been assessed and staff knew how to manage these risks safely. There was a process to identify learning from accidents, incidents and safeguarding concerns.

There were safe recruitment practices that followed legal requirements. Medicines were safely stored and administered. The service had policies and procedures to respond effectively to Covid-19. The home was clean and free from odours. Staff mostly followed appropriate infection control practices to prevent or minimise the spread of infection.

People's nutritional needs were assessed and met. Staff liaised with health professionals to meet people's health needs.

Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People's needs in respect of their protected characteristics were assessed and supported.

Relatives said staff treated people with care and we observed this to be the case. Staff knew people well and treated them with dignity and respected their privacy. People were involved in a range of activities at the home in line with their preferences.

There were some systems to monitor the quality and safety of the service. The registered manger understood their role. Most staff were positive about the registered manager and said improvements had been made since the last inspection. Staff worked in partnership with relatives, health and social care professionals and voluntary organisations.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture (RSRSRC) is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right support: There were limitations to the building which was designed to accommodate a larger than recommended number of people and was not best suited to increasing people’s independence and skills. The provider told us the local authority, who owned the building were considering separating the house into two smaller units.

Some further improvement was needed to increase people’s choice and control across all aspects of their lives. People had a personalised plan for their care. However, improvement was needed to evidence that people were supported to develop skills achieve outcomes and integrate in the community.

Right care: Overall care was person-centred and promoted people’s dignity, privacy and human

rights. However, improvement was needed to evidence that people were encouraged and consistently supported to develop and maintain ski

Inspection areas

Safe

Requires improvement

Updated 30 July 2021

The service was not always safe.

Details are in our safe findings below

Effective

Good

Updated 30 July 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 30 July 2021

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 30 July 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 July 2021

The service was not always well-led.

Details are in our well-led findings below