Background to this inspection
Updated
12 October 2021
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
Walsingham Support – Travis Gardens is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 two managers 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
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with four relatives about their experience of the care provided. We spoke with eight members of staff including the registered managers and care workers. We spoke with one visiting professional. We carried out an observation of support as a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with four professionals who regularly visit the service.
Updated
12 October 2021
About the service
Walsingham Support – Travis Gardens is a residential care home providing personal care to 5 people living with a learning disabilities and autism. The service can support up to 6 people.
People’s experience of using this service and what we found
Audits and monitoring systems needed to be further strengthened and embedded into practice.
Health monitoring records were completed as required. Records to show people’s food and fluid intake needed to be kept.
Staff were trained in safeguarding and aware of what was reportable. We found one safeguarding concern that had not been reported but was reported retrospectively.
Risks had been assessed and were being monitored, however some environmental risks had not been identified. Accidents and incidents were analysed to ensure lessons were learnt.
People were receiving medication as prescribed. Staff were trained and assessed as competent to administer medicines.
Staff were suitably deployed to meet people’s needs. Staff were receiving training and supervision.
Staff were kind and caring. People were not consistently supported to access activities that were meaningful to them.
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 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.
The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting was being utilised to maximise people’s choice, control and independence.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human
rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff were being improved to ensure people using services led confident, inclusive and empowered lives
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 17/10/2019 and this is the first inspection.
The last rating for the service under the previous provider was good, published on [4/07/2018].
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.