Quality Checker Report: Sarsen House, West Overton

Healthwatch Wiltshire and Wiltshire People First carried out a Quality Checker visit to Sarsen House in West Overton, near Marlborough, on 20 August 2015. The service, operated by Tullyboy Homes, provided accommodation and support for people with learning disabilities. At the time of the visit, five residents were living in the home, with one room vacant. The visit formed part of Healthwatch Wiltshire’s work examining services for people with learning disabilities and dementia. 

The visiting team found Sarsen House to be a spacious, clean, and well-maintained home where residents appeared comfortable and settled. The building was single-storey with generally good accessibility, although there was a step between the kitchen and lounge and some external doors had steps. The large lounge and level-access patio doors helped residents move around the property more easily. 

Staff were described as friendly, welcoming, and knowledgeable about residents’ individual needs. The quality checkers observed that support was tailored to each person. For example, one resident's interest in elephants was supported through pictures and visits to the zoo, while another resident with complex behavioural needs was supported in ways that respected his personal space and preferences. Staff ensured visitors understood how best to interact with him to reduce distress and support his wellbeing. 

Communication needs were carefully considered. Accessible formats included large-print materials, pictures, and talking newspapers. The report found that staff adapted communication methods to meet the needs of individual residents and supported them in expressing their views and preferences. Residents were asked for consent before participating in discussions with the quality checkers and were offered choices throughout the visit. 

The report highlighted that residents were treated with dignity and respect and were encouraged to exercise choice and independence. During the visit, residents were offered individual choices about drinks and whether they wished to speak to visitors or show them around the home. The quality checkers felt that staff respected residents’ personal preferences and encouraged them to make their own decisions. 

Feedback from residents was positive. One resident said, “I like living here and I like my bedroom,” while another, who had communication difficulties, responded with a broad smile when asked whether he liked living at Sarsen House. The visiting team felt these responses reflected residents’ satisfaction with the service. 

Several examples of good practice were identified. Residents had personalised living spaces tailored to their individual needs and preferences. One resident who was blind had a room arranged consistently so that belongings remained in familiar locations, helping him feel safe and confident. Another resident enjoyed a private bedroom, bathroom, and sitting room. The report also found that residents understood and respected each other’s needs and that staff helped promote a positive, inclusive atmosphere. 

The home appeared well connected to the local community. Residents could attend church if they wished, and people from the community regularly visited the home. Residents also had opportunities to be involved in gardening, growing vegetables, shopping, food preparation, and cooking. During the visit, one resident was observed helping to prepare a meal. 

Overall, the quality checkers concluded that Sarsen House was a very positive living environment where residents appeared happy, well supported, and able to make choices about their daily lives. Relationships between residents and staff were observed to be warm and respectful, and there was evidence of good communication and person-centred support. 

No significant concerns were identified. The only recommendation was that staff should continue providing the same level of support and person-centred care, as residents appeared content and settled in the home.