Archived: Wembdon Rise

Updated 13 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 checked 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.

The inspection was unannounced and carried out on the 14 and 15 February 2018 by an inspector with experience in adult social care. Before the inspection, we reviewed the information we held about the service including notifications. Statutory notifications include information about important events, which the provider is required to send us by law. We reviewed the Provider Information Return (PIR) form sent to us. A PIR is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to plan the inspection.

During our inspection, we spoke with three people using the service and contacted five of their relatives. We spoke with six members of care staff, the operations manager and the registered manager. We undertook general observations and walked round the three buildings which accommodated people on the one site.

We looked at two people's care records and medicine administration records. We reviewed information about the management of the service including safeguarding reports, incident records and maintenance and service records. We looked at three staff records that included recruitment, training and supervisions.

Updated 13 March 2018

Wembdon Rise provides care home accommodation and support for up to ten people with autism and some also had sensory impairments. Care is provided in individual self-contained flats within the three buildings on the same site. At the time of the inspection there were ten people living in the home with complex care and behavioural needs.

At our last inspection of Wembdon Rise we rated the service Good. This inspection was on the 14 and 15 February 2018 and the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People had limited or no verbal communication skills. People needed support in their daily lives from one member of staff each when in the home and some needed two members of staff to support them when they went into the community.

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 included choice, promotion of independence and inclusion.

The service was safe. The service's recruitment process ensured that appropriate checks were carried out before staff commenced employment. There were sufficient staff on duty to meet the needs of people and keep them safe from potential harm or abuse. People's health and wellbeing were assessed and reviewed to minimise risk to health. People's medication was managed well and records of administration were kept up to date. Plans were in place to avoid harm to people because all potential risks to people had been considered.

The service was effective. People were cared for and supported by staff who had received training to support people and meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough to ensure they maintained a balanced diet. People accessed health and social care services in the community to help keep them well.

The service was caring. Staff supported people in a friendly and kind manner. Staff had a good understanding of people's preferences of care. Staff always worked on encouraging people to keep their independence so people were encouraged to make choices which were right for them.

The service was responsive. Records showed people and their relatives were involved in the planning and reviewing of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests, participate in social activities and spend time in the community. The service responded and dealt with any complaints they received.

The service was well-led. Staff and relatives spoke well of the registered manager and the provider who they saw as supportive and providing a good service. The registered manager and provider monitored the quality of various parts of the service on a regular basis. The management team also sent out annual surveys to collect relatives, staff and care professional’s view of the service.