We carried out a review of the data available to us about Webster Court 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 Webster Court, you can give feedback on this service.
Webster Court is an extra care housing complex providing personal care and support to people aged over 50 who have either experienced homelessness in the past or are at risk of becoming homeless. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection visit, 24 people were receiving personal care.
People’s experience of using this service and what we found
People told us they felt safe using the service. Systems were in place to protect people from the risk of abuse. Risks to people’s safety had been assessed and they were supported to manage these. People received their medicines when they needed them and there were enough staff to provide support to people when they required this.
The provider was pro-active at identifying and acquiring specialist training for staff in subjects that reflected people’s individual needs and experiences. This ensured staff had the necessary skills and knowledge to support people effectively.
Staff strongly advocated for people and worked closely with other organisations and professionals to ensure people received support with their healthcare needs when they required this. Professionals were complimentary about how well the staff worked with them, telling us the service was highly thought of within the professional community.
People told us their consent had been sought before they received support. Staff had a good knowledge on how to support people in line with the relevant legislation. However, systems to ensure other individuals could legally consent on behalf of a person needed to be more robust. We have made a recommendation in this area.
Staff were kind and caring. They treated people with dignity and respect. The provider ensured staff had time to spend with people, so they could get to know them. Staff were respectful of treating people as individuals and as equals. People’s privacy and dignity was respected, and they were supported to become more independent to enhance their sense of wellbeing.
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. They had been fully involved in deciding what support they required when using the service. People received support in line with their individual needs, choices and preferences.
People’s wishes were sought regarding the end of their life and these were respected and fulfilled. The service had received external accreditation for the quality of care they provided to people at this time.
Good leadership was in place. The provider and registered manager promoted an open, person-centred culture where people and staff were treated with respect and were valued. Robust governance systems were in place to monitor the quality of care and support provided to people. The provider and registered manager demonstrated a commitment to continually improve the quality of support people received.
Rating at last inspection
The last rating for this service was Good (published June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.
There was a registered manager in post, who had been in post since the service commenced two years ago. 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.
The service was safe. Staff had assessed risks to individuals and mitigated them appropriately. Staff and people using the service were aware of safeguarding procedures and knew how to report any concerns they had. There were enough staff, and they were flexible to meet people’s needs. There were systems in place which ensured staff were recruited safely.
Staff supported people safely to take their medicines and the records were clear. Where needed, staff provided prompting and different levels of support for people to take their own medicines.
People received a high standard of care from trained staff who had an understanding of their specific needs. Staff felt supported at work. They sought consent before delivering care and were aware of individuals’ mental capacity to make decisions. Staff supported people to access healthcare services promptly when required.
Staff supported people to eat a choice of freshly made meals and a balanced diet, and referred people to specialist healthcare professionals if needed.
People were cared for by staff who knew them well and adapted their communication effectively with them, which empowered people to be involved in their care and make their own decisions. People were consulted about their care when planning and reviewing their needs. Staff supported some people to maintain a plan for consumption of alcohol, so that this could be managed safely. Staff promoted people’s independence, and respected people’s privacy and dignity.
People received individualised care according to their own needs, and when they changed, staff responded appropriately and were flexible. People felt comfortable to talk with staff if they had any problems.
The staff worked well together as a team, with a positive, compassionate attitude, and good leadership was in place. There were systems in place to ensure that high quality care was delivered continuously and any potential problems would be identified in a timely manner.