About the service:

Wynters Care and Support is registered to provide personal care to people living in their own homes and supported living. At the time of the inspection the service was supporting 14 people with their personal care most of whom have a disability or are living with dementia.

The service also currently provides care and support to 19 people living in five different supported living settings, so that they can live as independently as possible. Most of these people were experiencing difficulties with their mental health. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

People’s experience of using this service:

¿ The quality of the service was not monitored by managers or the provider to ensure people received a consistently good service. There were gaps in record keeping which had not been identified by audits or checks.

¿ Pre-employment checks, such as obtaining references, were not always carried out in line with the provider’s policy to ensure all staff were suitable to work with vulnerable people.

¿ People were kept safe by an experienced and consistent group of staff who knew people well and had developed a good understanding of how people wanted their care to be delivered.

¿ People told us they received their medication at the right times and were encouraged to eat and drink to maintain a healthy diet.

¿ Staff routinely arrived to deliver care on time and stayed for the time expected. People and relatives we spoke with were all happy with the care and support being delivered and were kept informed if staff were running late.

¿ People were treated with dignity and respect and were able to make choices about their care and support. Staff understood about mental capacity and ensured people had consented to care being given.

¿ People’s health was monitored closely and staff worked well with other agencies and professionals to ensure people received the care they needed.

¿ People and their relatives told us that any concerns and complaints they had made had been listened to and the service had made changes in response to any suggestions.

¿ People and their relatives were happy with the way the service was being managed and staff felt supported by the management team. The provider was open and honest throughout the inspection and was committed to improving the service.

Rating at last inspection:

This was the service’s first inspection since their registration in January 2017.

Why we inspected:

This was a planned inspection.

Enforcement:

Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up:

We will also continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner

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