Walmley House

Walmley House accommodates up to six people in two adapted buildings. Five rooms are in the main building with a self-contained annex on the site. There is a dedicated staff office located in the main building. There are usually five staff on day shifts including a senior carer as well as the registered manager. Nights are covered by four staff with managers available 'on-call' as required.

There was a system in place to monitor staff contact with people in the form of daily logs. These helped shift change staff to know about any issues that may not have been verbally handed over such as any concerns or activities completed/to complete. Care plans and risk assessments identified people's support needs and staff had a good understanding of the support people needed.

We saw evidence that some auditing of service provision was taking place. However, the auditing was not robust, with inconsistencies between audits and issues found by inspectors.

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 supported this practice.

People were treated with kindness and compassion. People felt well supported. People were listened to and could express their views. People's privacy and dignity was maintained.

People's and their relatives, as well as professionals working with people in the service, were involved in the review process. People's personal preferences were identified in their care plans. People were involved in decisions about their care.

People received person centred care. People, relatives and staff expressed confidence in the registered manager. People, relatives and staff were given the opportunity to provide feedback.

People, staff and relatives knew how to complain. The nominated individual understood their responsibilities under the duty of candour.

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. The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. 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

From 11 November 2021 registered persons must make sure all care home workers and other professionals visiting the service are fully vaccinated against COVID-19, unless they have an exemption or there is an emergency. We checked to make sure the service was meeting this requirement. We found the service had effective measures in place to make sure this requirement was being met.

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.