Background to this inspection
Updated
14 August 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
Wright Homecare Limited 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
This inspection was unannounced.
What we did before the inspection
Before the inspection, the registered provider completed a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the home, what the home does well and improvements they plan to make. The registered provider returned the PIR and we took this into account when we made our judgements in this report.
We reviewed other information that we held about the home such as notifications. These are events that happen in the home that the registered provider is required to tell us about. We considered the last inspection report and we had contact with commissioners who had a contract with the registered provider.
During the inspection
Some people were unable to tell us their experience of their life in the home, so we observed how the staff interacted with people in communal areas. We spoke with two people who used the service, the registered manager, two relatives and two care staff.
We looked at the care records for four people and we looked around the home. We also looked at records in relation to the management of the home such as quality assurance checks, staff training and recruitment records, safeguarding information and accidents and incident information.
Updated
14 August 2019
About the service
Wright Homecare Limited is a residential care home providing personal care for up to four people with a learning disability. At the time of the inspection there were four people receiving a service.
The service is located in a residential area. There is parking at the front of the property and a secure garden area with a seated area to the rear. People have individual bedrooms on the ground and first floor.
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 living at the home and staff understood how to protect them from harm and abuse. Risks to individuals were assessed, monitored and reviewed, and there were enough staff to meet people’s needs. The provider followed safe recruitment practices. People’s medicines were managed safely, and they were protected from any harm associated with them.
Staff received training to have the skills and knowledge to support people and received regular support from the registered manager. People had access to health care to ensure they stayed well and staff continued to support people in hospital where any treatment was needed. People chose what they wanted to eat and drink and this was prepared well.
Staff were respectful and listened to what people had to say and ensured they were involved in making day to day decisions about their care. Where people may lack capacity to make important decisions, best interest decisions were made with those who were important to them. 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.
People had developed caring relationships with staff. Care was provided with kindness and compassion and people’s independence was promoted. Staff ensured that people were supported to maintain their dignity and respected their right to privacy. People stayed in touch with people who were important to them and visitors could come to the home at any time.
People were involved in the planning of their support and received care that was individual to them and participated in activities they enjoyed. Their views were taken into account when improvements were made in the service and staff recognised when people were unhappy.
There were systems in place to monitor and assess the quality of care people received. Actions were taken to make improvements and staff felt supported in their roles. The registered manager and provider showed a clear understanding about their responsibilities as registered persons.
Rating at last inspection:
The last rating for this service was Good (published January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wright Homecare Limited 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.