Background to this inspection
Updated
18 December 2020
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.
As part of CQC's response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 1 December 2020 and was announced.
Updated
18 December 2020
About the service
Wigginton Cottage is a residential care home providing accommodation and personal care to eight younger people who have a learning disability. The provider specialises in providing care and support for people who have Prader-Willi syndrome. Prader-Willi syndrome is a rare genetic disorder that results in a number of physical, mental and behavioural disorders.
People at the home have their own bedroom and had access to bathrooms, a lounge, dining area and a kitchen. A garden at the rear of the property was accessible to people.
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
Three out of four people told us they did not feel safe living in the home because of the behaviour of one person. The provider was aware of this and had taken action prior to our inspection visit to ensure people’s safety. The risk to the individual was assessed and a risk assessment put in place to mitigate the risk. People were cared for by sufficient numbers of staff who had been recruited safely. People were support by staff to maintain hygiene standards within the home. The provider was able to demonstrate when things went wrong that action was taken to avoid a reoccurrence.
The provider had systems in place to monitor the quality of service provided to people. There was a clear management structure in place and people knew who was running the home. People who used the service had the opportunity to be involved in the running off the home. The provider was able to demonstrate they engaged with other agencies to ensure people received a seamless service.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good published (18 April 2019)
Why we inspected
We received concerns in relation to the management of medicines and people’s care needs. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.
The overall rating for the service is Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Wigginton Cottage 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.