Woburn House

We have assessed the service against ‘Right support, right care, right culture’ (RSRCRC) guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At our last inspection the service was rated good. At this inspection the service’s rating has changed to requires improvement. We identified a breach in relation to good governance at this inspection.

When incidents happened such as people hurting themselves when they felt upset or police being called to support people, these were not always reported to CQC in line with guidance and legislation. It was unclear how incidents were being monitored for trends for some people. Some care plans and risk assessments at the service were not detailed enough to help staff support people safely. Staff recruitment checks were not thorough to help ensure staff were suitable for their job roles. Audits to monitor the quality of the service were not robust enough to identify where improvements may have needed to be made. The registered manager and management team took action to address these issues during our inspection; however, we could not be assured these would have happened without our direct input.

Staff were kind and caring and people and relatives were positive about their/ their family member’s support. Staff knew people well as individuals and there were enough staff to support them safely. Despite shortcomings in incident reporting and oversight, people were safe and incidents were discussed with the staff team to help promote learning. People were supported have choice and maintain their independence if they chose to do so. Other care plans and risk assessments were comprehensive about how to support people. People and relatives were supported to feed back about the service if they chose to do so. Staff supported people to live healthy lives and see health professionals when they needed to. Staff understood and supported people in line with the Mental Capacity Act (MCA) People had been supported to live in their own homes for a long time and had achieved good outcomes that meant a lot to them. The management and staff team linked and worked well with professionals and partners such as local authorities. The registered manager and management team were compassionate, taking the time to make sure people and staff felt well supported. The culture at the service was positive and staff worked to the best of their ability to support people as individuals.