Archived: Walsingham Support - 21 Budge Lane

Updated 19 September 2024

Date of assessment 21 October 2024 and ended on 27 November 2024.

Walsingham Support- 21 Budge Lane, 21 Budge Lane is a care home for people with learning disabilities. The service provides support to 6 people.

We undertook this assessment in response to concerns about the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right support: Family members were not regularly asked for their feedback. People’s dignity was not always maintained. Staff did not always use appropriate styles of communication and people’s choices were not consistently met. There was not enough access to outdoor activities.

Right care: People were not always safe from health and safety risks, infection control risks and the risk of abuse and protection of their rights. The provider could not demonstrate sufficient staffing levels, up to date training or full pre- employment checks and inductions for new staff.

Right culture: The provider did not have a stable management team in post and had not consistently managed staff wellbeing, but staff felt confident to raise the concerns. Regular supervision sessions were not taking place with staff. The provider was not implementing systems to ensure good governance of the service, including the safe management of people's medicines.

We identified four breaches of regulation in relation to Person-centred care, safe care and treatment, staffing and good governance.

Updated 19 September 2024

Family members told us they were not regularly asked for their feedback about care delivery and they did not feel listened to. Satisfaction surveys were not being requested to be completed by most of the relatives and they had rarely been invited to the family members’ meetings.

Family members were notified if people had an incident/accident and most family members felt people were safe living in the home. However, some safety concerns were raised by family members involving incidents for example, in relation to people’s medicines management and use of equipment. Family members confirmed there was enough equipment to support people safely.

Although most family members told us there were enough staff scheduled to work during the day to care for their relatives within the home, we found there were not enough staff to support people to go out when they wished to.

Family members told us that the home was, “Well maintained” and that “[Staff] do seem to do a good job [maintaining the home clean]” and that people received their medicines when they needed it.

People seemed relaxed in their surroundings and were willing to engage and initiate chats with the visitors. People told us they were happy living at this home and liked staff, commenting "It's not too bad" and "I like it here."

Family members confirmed their relative’s independence was encouraged and supported and they told us their relatives knew the permanent staff that supported them well and their choices were sought and met. People’s family members told us staff were aware of their relative’s care needs when they came to live at the home.