We carried out a review of the data available to us about Wilton Villas on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Wilton Villas, you can give feedback on this service.
Wilton Villas provides residential care for men who live with enduring mental health issues and substance or alcohol misuse issues. The service can accommodate up to 18 people and 10 people were in residence at the time of this inspection.
People’s experience of using this service and what we found
We saw that risk assessments concerning people's day to day mental health and other support needs were clear and regularly reviewed. There were descriptions of potential risks and information for staff about action to be taken to reduce risks and how to respond if new risks emerged. The service liaised more effectively with community based mental health and social care professionals.
People were supported to exercise 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 support this practice. People we spoke with told us about feeling that the service was maore relaxed and felt happier to live at the home.
The provider reported concerns to CQC via statutory notifications as required by legislation, the volume, type and seriousness of incidents had much reduced over the last year.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wilton Villas on our website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was requires improvement (Inspection report published on 3 December 2019). At this inspection the rating had improved to Good.
Why we inspected
At our previous inspection in August 2019 we did not find any breach of regulation but were concerned about the stability of the service and levels of serious incidents. We carried out this focused inspection to examine the effectiveness of measures taken to improve the service in the last 18 months. We looked specifically at the Key Questions of Safe and Well-Led only. We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.
Follow up
We will continue to monitor information we receive about the service. If we receive any concerning information we may inspect.
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 coronavirus and other infection outbreaks effectively.
Wilton Villas provides residential care for men who may have mental health issues, a substance misuse issue or a learning disability. The service can accommodate up to 28 people with mental health problems and/or substance misuse issues, each person having their own bedroom. The service recognised that some
people may have an additional learning disability so a specific five bed flat within the building was created for people with a mental health, substance misuse history and who also have a learning disability.
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People’s experience of using this service and what we found
We saw that risk assessments concerning people's day to day mental health and other support needs were clear and regularly reviewed. There were descriptions of potential risks and information for staff about action to be taken to reduce risks and how to respond if new risks emerged. The service liaised with community based health and social care professionals, but could be clearer about their expectations about time frames for responses to requests for mental health assessments.
We found that the quality assurance system was not effective because it had not fully identified and reduced risks to people using the service from a long standing anti-social behaviour matter. Lessons from previous incidents had not been learnt.
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 support this practice.
The provider usually reported concerns to CQC via statutory notifications as required by legislation, with the exception of a recent involvement of the police that was not reported to CQC.
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 Good (Inspection report published on 9 August 2018). At this inspection the rating had deteriorated to requires improvement.
Why we inspected
We received concerns in relation to the potential safety of people and management of the service. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-Led only. We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were currently at unnecessary risk of harm at Wilton Villas. However, kitchen cleaning was not suitable to minimise the risk of contamination of food and food storage areas on each floor except the first floor. 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 Wilton Villas on our website at www.cqc.org.uk.
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.
This inspection took place on 31 May 2018 and was unannounced. At the last inspection on 25 April 2016 the provider met all the legal requirements we looked at and was rated good.
At this inspection we found the service remained Good.
At the time of our inspection a registered manager was employed at the service. 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.
We saw that risk assessments concerning people’s day to day mental health and other support needs were detailed and were regularly reviewed. There were clear descriptions of potential risks and information for staff about action to be taken to reduce risks and how to respond if new risks emerged. A psychologist employed by the provider took part in assessing potential risks for people. The service liaised with other community based health and social care professionals in order to minimise and respond to potential risks and to keep people safe from harm.
There were policies, procedures and information available in relation to the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure that people who could not make decisions for themselves were protected. The service was applying MCA appropriately. Physical restrictions under DoLS were not applied for at the service as almost everyone using the service was subject to a community treatment order. This would mean that if they did not comply with their treatment in the community they could be recalled to undergo treatment in a secure hospital ward if necessary.
People’s health care needs were assessed and the service had introduced health action plans to ensure that the range of potential health care needs were met, Care was planned and delivered in a consistent way in co-operation with community mental health services and other health and social care professionals. Information and guidance was provided to staff about what was expected of them and the procedures used at the service.
The service complied with the provider’s procedures to carry out regular audits of all aspects of the service. The provider carried out regular reviews of the service and sought people’s feedback on how the service operated.
The provider worked well to ensure that people were included in decisions about their care. People’s views about how the service was run were respected and taken seriously.
Further information is in the detailed findings below.
This inspection took place on 25 April 2016 and was unannounced. Following our previous inspection in January 2014 we undertook a focused inspection to look into concerns about the service. That inspection took place on 12 March 2015 and looked into concerns about people’s safety as the result of incidents that had required the police to be called to the service or people having been involved with the police in the local area. We found at that time the service had taken action to address those concerns and the situation had improved. Positive relationships with the local community had been established, a recent garden party event hosted by the service had occurred and the feedback received had been very positive.
At the time of our inspection a registered manager was employed at the service. 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.
We saw that risks assessments concerning people’s day to day support needs, mental healthcare support, other healthcare conditions and risks associated with daily living and activities were detailed and were regularly reviewed. Instructions for staff on how to mitigate risks were clear and informed staff about action to be taken to reduce risks and how to respond if new risks emerged. A psychologist that was also employed by the provider took part in assessing potential risks for people.
There were policies, procedures and information available in relation to the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure that people who could not make decisions for themselves were protected. The service was applying MCA appropriately. Physical restrictions under DoLS were not applied for at the service as almost everyone using the service was subject to a community treatment order. This would mean that if they did not comply with their treatment in the community they could be recalled to undergo treatment in a secure hospital ward.
We found that people’s health care needs were assessed and the service was introducing specific health action plans to ensure that these assessments improved the range of potential health care needs assessed, whether previously known about or not. Care was planned and delivered in a consistent way and the service had regular contact with community mental health services and other health and social care professionals. Information and guidance provided to staff about what was expected of them and the procedures used at the service were clear.
The service complied with the provider’s procedures to carry out regular audits of all aspects of the service. The provider carried out regular reviews of the service and sought people’s feedback on how the service operated.
At this inspection we found that the service met all of the regulations we looked at.
Wilton Villas is registered to provide residential accommodation and support to a maximum of 30 men with severe and enduring mental health issues.
At the time of our inspection a registered manager was employed at the service. 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.
Following our inspection of 16 January 2014 we undertook a focused inspection to look into concerns about the service. The inspection took place on 12 March 2015 and looked into concerns about people’s safety as the result of recent incidents that had required the police to be called to the service or people having been involved with the police in the local area. During the visit, we spoke with one person using the service, were introduced to four others who did not wish to speak with us at this time, spoke with a project worker, the deputy manager and the registered manager.
From our observations of interactions between staff and people using the service and from our conversation with one person using the service we found that they were satisfied with their support.
People were able to complain or raise concerns if they needed to. We saw from looking at the record of complaints that where people had raised issues these were taken seriously and had been resolved appropriately. We found that any concerns people had were listened to.
The five members of staff we spoke with were skilled and knowledgeable, they were able to give in-depth answers to all our questions. Staff benefited from access to a wide range of training and we saw evidence that learning had been effectively applied from training on the Mental Capacity Act 2005. A need for training on 'legal highs' had been identified and a trainer sourced. The use of legal highs was becoming a problem for the service, reflecting increasing use amongst the wider community.
The communal areas of the building were attended to by a cleaner and people who used the service were supported to keep their bedrooms clean and to carry out other household tasks. People had access to small group activities on site and some attended college or day services.
The provider carried out regular audits to ensure that the service was functioning as required and we saw that they responded to any problems identified. There were close cooperative relationships with a range of placing authorities and other agencies.
"(this is the) best place I have lived since coming out of hospital"
"Its okay living here"
"Everything here is fine"
We found that people's views and experiences were taken into account in the way the service was provided and that care, treatment and support met their needs and protected their rights.
People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.
There were enough qualified, skilled and experienced staff to meet people's needs. Staff were supported to deliver care and treatment safely and to an appropriate standard. The provider had appropriate arrangements in place to manage medicines and had an effective system to regularly assess and monitor the quality of service that people receive.