Background to this inspection
Updated
22 May 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 an announced, planned comprehensive inspection which took place on 13 and 20 April 2018. We informed the provider we would be visiting as we needed to ensure that there would be staff and people in the service in order to undertake the inspection. As the service is a respite centre, people are often out during the day. The inspection team consisted of one inspector.
Before the inspection, we reviewed the information we held about the service. This included the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally required to tell us about. We did not ask the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
Throughout our inspection we spent time observing care throughout the service. We spoke to three people and five relatives. We also spoke with the acting manager, the assistant manager, and three support workers.
We looked at records, which included four people’s care and medicine records. We checked recruitment, training and supervision records for three staff. We also looked at a range of records about how the service was managed.
Following the inspection we contacted a number of external health and social care professionals and commissioners to obtain their views about the service. We received no feedback from these.
Updated
22 May 2018
Woodview is a short break service run by Dimensions and is registered to provide personal care and accommodation for up to five adults with learning difficulties at any one time. People could have respite for a few hours a day or up to a week. At the time of the inspection there were five people using the service for varying periods of time. The service also provides emergency placements if required. 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 include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Rating at last inspection
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated Good:
The service continued to be responsive to people's changing needs and staff ensured people had support that met their needs. The management team acknowledged that access to activities outside of the service were impacted upon by not all staff being able to drive, and therefore, take people out. However, the provider was taking steps to recruit staff that could drive so people could out more. People and their relatives knew how to make a complaint but told us they hadn’t needed to.
The service continued to have systems in place to safeguard people. Individual risks were assessed, recorded and managed to keep people safe from avoidable harm. Medicines were managed safely. The premises were kept clean which protected people from the risk of infection. Staffing levels were assessed for each person to ensure their needs were safely met. Equipment and premises were regularly checked to ensure the environment was safe. Where incidents or accidents occurred, these were used to make improvements to minimise risk of occurrence.
People continued to receive effective support from suitably trained and skilled staff. People had their needs assessed fully before being supported by the service. People’s nutritional and hydration needs were met and choices offered. Staff told us and records confirmed staff were well supported in their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems in the service support this practice. Health advice and treatment was sought appropriately.
The service remained caring. People were greeted warmly when they arrived and looked relaxed and settled. Staff were committed to deliver good quality care to meet people’s needs; both physical and emotional. People’s privacy and dignity was respected at all times and terminology in care records was respectful.
There was no registered manager, however the service remained well managed. 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. At the time of the inspection the service was run by an acting manager who had applied to become registered with the Care Quality Commission.
There was a positive, open culture that valued people, relatives and staff. The provider had effective systems in place to ensure people experienced good quality care. The staff worked well with professionals to ensure a holistic approach to meeting people’s needs.
Further information is in the detailed findings below.