Updated 28 May 2024
Date of assessment: 25 July to 31 July 2024.
Reason for assessment: We received concerns about the quality and safety of care which we wanted to check on and we wanted to check improvements had been made following our last inspection.
Wall Hill Care Home is a residential care home providing personal care to up to 35 people. The service provides support to older people who may have a physical disability, mental health needs or dementia. At the time of our inspection there were 32 people using the service. There were also people living at the service who had a learning disability and/or autism, despite staff not having specialist training in this area.
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.
We assessed all quality statements in safe and well led. During the assessment we found concerns in other areas, so we opened the assessment to include other quality statements in effective, caring and responsive. For quality statements we have not assessed at this assessment, we have used the rating from the previous assessment to help calculate the rating of the key question.
We found 4 breaches of regulations at this assessment. The provider did not have effective systems in place to monitor the quality and safety of care to people which had left people at risk. Risks to people were not always assessed and planned for and medicines were not always managed safely. People were not always supported in the most person-centred way. People were not always being protected by the Mental Capacity Act 2005.