High Worple

Updated 24 October 2023

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 Health and Social Care Act 2008.

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 conducted by 2 inspectors.

Service and service type

High Worple is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. High Worple is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We looked at all the information we held about this service.

During the inspection

We spoke with 4 people who lived at the service and staff on duty who included support workers, project workers, the deputy manager and the registered manager. Following the visit, we spoke with the relatives of 3 people on the telephone.

We observed how people were being supported and cared for. Our observations included 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 looked at records the provider used for managing the service. These included the care records for 3 people, records of meetings, audits, accidents and incidents. We also looked at how medicines were managed and the environment, including infection prevention and control.

Updated 24 October 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

High Worple is a care home for up to 5 adults with learning disabilities. People living there shared the same cultural heritage and their main language was Gujarati. All staff spoke Gujarati and understood people's culture and religious needs. At the time of our inspection, 5 people were living at the service.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support: Staff supported people to have the maximum possible choice, control, and independence. Staff focused on people's strengths and supported people to have fulfilling and meaningful lives. Staff supported people to pursue their interests and to achieve goals. People were cared for in a safe, clean and well equipped, environment. The service made reasonable adjustments to support people to make choices. People were supported to access health and social care support. People were supported to have their medicines safely and as prescribed.

Right Care: Staff treated people well and promoted equality and diversity. People received kind and compassionate care. Staff understood how to protect people from abuse and poor care. There were enough suitably trained and skilled staff. People could communicate with staff who supported them with their individual communication needs. People could take part in activities which were tailored to them.

Right culture: People led inclusive lives and were empowered by the attitude of management and staff. People received good quality care and support. Staff understood best practice for supporting people with learning disabilities. People and their representatives were involved in planning care and making choices. Staff evaluated the quality of support and made adjustments to reflect people's needs and wishes.

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.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 8 November 2017).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support right care right culture.

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, which will help inform when we next inspect.