Wilton House

Updated 9 February 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 was a comprehensive inspection. It took place on 28 November 2017 and was unannounced. The inspection team included an adult social care 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. The expert by experience’s expertise included caring for a relative with learning disabilities.

Before our inspection, we reviewed all the information we held about the service. We asked the registered provider to complete a provider information return [PIR] which helped us to prepare for the inspection. This is a document that asks the registered provider to give some key information about the service, what the service does well and any improvements they plan to make. We spoke with the local authority to gain further information about the service.

We spoke with five people who used the service. We observed care and support in communal areas and also looked at the environment in each of the houses.

We spoke with three support workers, the registered manager, deputy manager and a team leader. We looked at documentation relating to people who used the service, staff and the management of the service. We looked at three people’s care and support records, including the plans of their care. We also looked at the systems used to manage people’s medication, including the storage and records kept. We saw the quality assurance systems to check if they were robust and had identified areas for improvement. We also spoke briefly with the registered provider.

Updated 9 February 2018

Wilton House provides residential care for up to 26 adults with learning disabilities. The service comprises of three houses and two bungalows on the same site. The service is situated in the Kimberworth area of Rotherham, with some local facilities such as shops and pubs nearby. It is within easy access to Rotherham town centre. At the time of the inspection 20 people were using the service.

At the last inspection, in June 2015 the service was rated ‘Good’ across each of the five key questions. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Wilton House’ on our website at www.cqc.org.uk’.

At this inspection we found the service remained Good.

Why the service is rated Good.

The service had a registered manager in post at the time of our inspection. 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 continued to assess, plan for and meet people’s individual and changing needs and people were involved in making decisions about their care and support.

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.

The service continued to provide safe care. There were sufficient numbers of staff available to keep people safe and there was an effective staff recruitment process in place. Staff were appropriately trained and supervised to provide care and support to the people who used the service.

Staff had a clear understanding of safeguarding adults and care and support was planned and delivered in a way that ensured people were safe, without restricting people’s freedom.

People were supported to receive a healthy diet and were supported to have access to relevant healthcare services to support their health needs.

People's privacy, dignity and independence were maintained by staff who were caring and respectful. Staff knew the people they were supporting and provided a person centred, personalised service.

There were systems in place to continuously assess and monitor the quality of the service, with a strong emphasis on promoting and sustaining improvements.

Further information is in the detailed findings below.