Background to this inspection
Updated
30 January 2020
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 Care Act 2014.
Inspection team
This inspection was undertaken by one inspector.
Service and service type
Wyboston Lodge is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We carried out the inspection visit on 17 December 2019. We gave the service four hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at the service to speak with us. It also gave staff the time to discuss our visit with the people to reduce their anxieties.
What we did before inspection
We looked at information we held about the service and used this information as part of our inspection planning. The information included notifications. Notifications are information on important events that happen in the service that the provider must let us know about. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We saw how the staff interacted with people who lived at the service. We spoke with two people who lived there. We spoke with four members of staff: one senior support worker, three support workers and the registered manager.
We looked at one person’s care records, as well as other records relating to the management of the service, such as internal audits and the service improvement plan.
Updated
30 January 2020
About the service
Wyboston Lodge is a residential care home that was providing personal care to four people at the time of the inspection. The care home accommodates up to four people who have a learning disability in one adapted building.
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
Risks had been identified but not all risk assessments were in place to ensure the risk was minimised appropriately. Medication protocols for medication prescribed to be administered as required did not provide staff with detailed information about when to administer the medication. The storage area for the medication was recorded to be above the recommended levels. The registered manager was taking action to reduce the temperature to ensure medication remained effective.
Staff had an understanding of safeguarding procedures and knew who to contact if they needed to report any concerns. There were enough staff deployed to support people, so people were not at risk of harm. There was a system in place to learn lessons from incidents or accidents.
Care plans were in place which guided staff to provide support that met people's needs which were in line with their preferences.
Leadership of the service was good. Quality assurance systems were in place, the management team always worked collaboratively with external health and social care professionals. People, relatives and others were asked for their views about the service. Staff felt their views were listened to.
Staff received a suitable induction, training or support to ensure they were able to effectively meet people's needs.
People told us that staff were caring and kind and that they tried to do their best for the people they were supporting. People were comfortable with the staff and enjoyed their company.
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
Why we inspected
This service was registered with us on 14 January 2019 and this is the first inspection. This was a planned inspection based on our methodology.
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.