28 May 2021
During an inspection looking at part of the service
Wrekin Cottage - Telford (West Midlands) is a residential care home that accommodates up to 16 people living with learning disabilities or autistic spectrum disorder. At the time of our inspection there were 16 people living at the home.
People’s experience of using this service and what we found
People were safe as the infection, prevention and control procedures had been revised by the provider and effectively implemented.
The provider had reviewed their systems to identify environmental issues to ensure repairs were completed in a timely way. This minimised the risk of harm to people.
The provider had implemented effective systems to identify and drive good and safe care provision. The service did not have a registered manager in post at the time of the inspection. However, the provider was actively recruiting for this position.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Right support:
• Model of care and setting maximises people’s choice, control and independence
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
Wrekin Cottage - Telford (West Midlands) was not able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture. The care service had not been developed or designed in line with the values that underpin the Registering the Right Support and other best practice guidance. This was because Wrekin Cottage - Telford (West Midlands) provided accommodation for up to 16 people, some of whom were expected to use shared facilities including bathrooms and communal areas.
Wrekin Cottage - Telford (West Midlands) was located within a 'campus' style location which contained other care homes with day centre facilities also on site. We were told the management team were looking to change the type of accommodation offered to people living there to be in line with right support, right care, right culture guidance. However, no dates or plans for the proposed changes could be provided by the management team we spoke with.
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 Requires Improvement (published 18 May 2021).
Why we inspected
We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.