Archived: Walby Hill (Adult Care Home)

Updated 6 August 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by one inspector.

Service and service type

Walby Hill (Adult Care Home) 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 a manager registered with the Care Quality Commission. A registered manager 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 the registered manager and provider short notice of the inspection. This supported the staff and us to manage any potential risks associated with COVID-19.

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. We used all of this information to plan our inspection. We did not request a Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make.

During the inspection

We spoke with four members of staff including the registered manager, team supervisor and two support workers. We talked with all four people at the home. We reviewed information relating to infection control, staff training and the assessment of risk

After the inspection

We looked at information relating to health and safety and policies and procedures.

Updated 6 August 2021

About the service

Walby Hill (Adult Care Home) provides care, support and accommodation for up to seven people with a learning disability. At the time of the inspection there were four people living at the service. The service also provided an outreach service for one person living in the local community. We did not inspect this part of the

service because it was outside the scope of the regulations.

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

An effective infection control system was now in place. Improvements had been made following our last inspection regarding the use of PPE. Staff had undertaken training in the safe use of PPE. The provider had strengthened their quality monitoring system in relation to IPC.

People’s needs were met by the number of staff on duty. Medicines were managed safely.

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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This was a focused inspection. Based on our review of the key questions safe and well led; the service was able to demonstrate how they were meeting the relevant principles of the ‘Right support, right care, right culture’ under these key questions:

Right support:

People were supported to access the local community. Positive risk taking was encouraged.

Right care:

People’s dignity and privacy was promoted. People had their own key to their room.

Right culture:

There was a positive inclusive culture at the home. People were involved in their care and support such as goal setting and menu planning.

The service was changing from a care home to a supported living service. We have signposted the provider to further information regarding meeting the ‘Right support, right care, right culture’ in relation to becoming a supported living service.

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 requires improvement (published 25 May 2021). We carried out a focused inspection of this service on 29 January 2021. We identified two breaches of the regulations relating to safe care and treatment and good governance. We took enforcement action and imposed conditions relating to infection, prevention and control upon the provider's registration.

Why we inspected

We undertook this inspection to confirm they now met legal requirements. This report only covers our findings in relation to the key questions of safe and well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last inspection, by selecting the ‘all reports’ link for Walby Hill (Adult Care Home) on our website at www.cqc.org.uk.

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.