Westcliffe Villa

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Westcliffe Villa is a residential care home providing accommodation support for up to 14 younger adults with learning disabilities and sensory disabilities. At the time of our inspection there were 13 people using the service.

People’s experience of using this service and what we found

Right Culture:

Some maintenance issues had not been addressed in a timely manner. For example, important utility inspections had not always been undertaken when they needed to be. Quality control systems had not always identified these concerns or led to them being addressed prior to the inspection.

The ethos, values, attitudes and behaviours of leaders and care staff ensured that people using the service could lead confident, inclusive and empowered lives.

Staff kept people’s needs, preferences and wishes at the very centre of their interactions while also promoting their particular strengths to maximize independence as far as possible.

People and their families were involved in the planning and review of their care and kept updated.

Right Support:

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff understood people had the right to make decisions for themselves and supported people to do so.

Staff focussed on people’s strengths and promoted these to the best of each person’s ability, enabling them to have a meaningful and fulfilling daily life. People were supported to be as independent as possible, participate in activities of daily living and to be a part of their local community.

People were supported to access healthcare services where appropriate. People were encouraged to eat healthily and were supported to make their own drinks and meals. People received their medicines as prescribed. Where there were incidents and accidents staff took the appropriate action to reduce the risk of events re-occurring.

Staff were recruited safely and there was enough staff to support people. There was enough PPE in place. Staff had completed infection prevention and control training and knew how to keep people safe.

Right Care:

People’s support plans did not always reflect their needs. However, this was addressed during the inspection.

People received kind and compassionate care that was person-centred and promoted their dignity and privacy because staff understood and responded to people’s individual needs.

Staff understood how to protect people from poor care and abuse and had training on how to recognise and report abuse.

The service worked well with partner agencies to ensure people’s needs continued to be met in a timely and effective way to keep them safe and well.

People were able to communicate and interact comfortably because staff had the necessary skills and training to understand and support them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 28/04/2017)

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding. The overall rating for the service has changed from Good to Requires Improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the Safe and Well-Led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westcliffe Villa on our website at www.cqc.org.uk

Enforcement

We have identified breaches in relation to good governance at this inspection. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.