Wellesley House

Updated 26 October 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.’

The inspection took place on 5 and 6 September 2018 and was announced. The provider was given 48 hours’ notice because the location was small and we needed to be sure that we could access the premises.

The inspection was carried out by one adult social care inspector. The onsite visits gave us the opportunity to see the registered manager and office staff; and to review care records, policies and procedures.

Before our inspection the provider completed a provider information return (PIR). The PIR 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.

We also reviewed the information we held about the service and we looked at the statutory notifications they had sent us. A statutory notification is information about important events, which the provider is required to send to us by law.

Before the inspection visit we contacted the local authority safeguarding and commissioning teams about the service to gather relevant information. We also contacted Healthwatch Rochdale. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We did not receive any negative information from these organisations.

During the inspection we spoke to one registered manager, four staff members and one person who lived in the home. We observed the second resident interact with staff over two days as they were unable to communicate with us.

During the office visit we looked at records relating to the management of the service. This included policies and procedures, incident and accident records, safeguarding records, complaint records, three staff recruitment, training and supervision records, two care files, team meeting minutes, satisfaction surveys and a range of auditing tools and systems and other documents related to the management of the service.

Updated 26 October 2018

Best Outcomes is a supported living service for people with a learning disability or mental health diagnosis located in Rochdale, Greater Manchester. Best Outcomes is registered to provide personal care for people in their own home. At the time of the inspection the service was supporting two people living in one property.

This inspection took place on 5 and 6 September 2018 and was announced. The service was last inspected on October 2015 and received an overall rating of good. At this inspection we found that 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.

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.

We were assisted throughout the inspection by a registered manager. 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.

Staff were aware of their responsibilities to safeguard people from abuse. Safe recruitment practices were in place and the service followed national and local safeguarding guidance. There were sufficient staff to care for people. Risks to people's safety were assessed and medicines were administered safely.

People received care from staff who were appropriately trained to effectively carry out their job roles. People were supported to have maximum choice and control of their lives. The service acted in accordance with the Mental Capacity Act (2005). People were supported to maintain good health and receive ongoing healthcare support.

Staff spoke about people with genuine empathy and compassion and demonstrated a commitment to providing good care. We saw that staff knew people’s needs well and people who used the service told us the care was not rushed and they were actively supported to become more independent where possible.

The service was proactive at promoting activities and access to the wider community and both residents had regular activities including holidays and access to education.

The staff were committed to their roles and spoke in a caring and compassionate way about the people who used the service and the service had internal quality assurance systems in place to monitor performance and to drive improvement.