Background to this inspection
Updated
4 March 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 5 February 2018 and was unannounced.
Winston Lodge 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.
Winston Lodge accommodates11people in one adapted building. At the time of the inspection, 10 people were living there. The inspection was carried out by one inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service, in this case learning disabilities and or autistic spectrum disorder.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Before the inspection, we looked at information we held about the provider and home. This included their Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service. Providers are required to send us a PIR at least once annually to give us some key information about the service, what the service does well and improvements that plan to make. We also sought feedback from three health and social care professional in relation to the care and support being provided at Cambria House however we did not receive any responses to our requests.
During the inspection we spoke with the registered manager, the deputy manager, four care staff and five people living at the home. We looked at the provider’s records. These included four people’s care records, four staff files, staff attendance rotas, audits, staff training and supervision records, accident and incident records, complaints and compliments, minutes from resident and staff meetings and a selection of the provider’s policies.
Following our inspection we spoke with the family members of two people living at the home to seek their feedback / observations in relation to the care being provided to their relatives.
Some people were not able to verbally communicate their views with us or answer our direct questions. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We last inspected the home in December 2015 where no concerns were identified.
Updated
4 March 2018
Winston Lodge is a residential care home for 11 people with learning disabilities or autistic spectrum disorders. At the time of the inspection 10 people were living at the home. Accommodation is provided within a large detached house with communal areas, lounge, dining room and kitchen with a secure garden to the rear of the property and is located close to the town centre of Waterlooville. The service is not registered to provide nursing care.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
Why the service is rated Good.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service had taken appropriate steps to protect people from the risk of abuse, neglect or harassment.
Staffing levels ensured that people's care and support needs were continued to be met safely and safe recruitment processes continued to be in place.
Consent was sought, where possible. The service followed the principles of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
People's needs were assessed and care plans in place. People received appropriate care and support because care plans were detailed and responsive to their needs.
Risks continued to be assessed and recorded by staff to protect people. There were systems in place to monitor incidents and accidents. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service.
People received their medicines safely. People’s medicines were reviewed regularly by their GP and specialist health care providers.
Staff were caring and compassionate. People were treated with dignity and respect and staff ensured their privacy was maintained. People were encouraged to make decisions about how their care was provided. Staff had a good understanding of people's needs and preferences.
Staff received induction, training and supervision that helped them to deliver good levels of care and support. Staff were trained in principles of care in relation to people living with a learning disability.
Systems continued to be in place to ensure the premises was kept clean and hygienic so that people were protected by the prevention and control of infection.
The service had an open culture which encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement.
There were policies in place that ensured people would be listened to and treated fairly if they complained about the service.
Quality assurance audits were carried out to identify any shortfalls within the service and how the service could improve.
People were supported to eat and drink according to their likes and dislikes.