Background to this inspection
Updated
21 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by an inspector and an assistant inspector.
Service and service type:
Wisteria House Residential Home – Rutland is a 'care home'. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.’
Notice of inspection:
The inspection was unannounced.
What we did:
Before inspection: We reviewed information we held about the service. This include notification and provider information return (PIR). Notifications are information on important events that happen in the home that the provider must let us know about. PIR is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During inspection: We spoke with four people that used the service, three visiting friends and family, the local vicar, three members of staff, the deputy manager and the registered manager. We reviewed the care records of three people who used the service, staff records, incidents and accidents records, complaints records and other records relating to the management of the service.
After the inspection, the registered manager sent us additional information we requested at our visit.
Updated
21 June 2019
About the service: Wisteria House is a residential care home that was providing personal care and accommodation to 17 people aged 65 and over at the time of the inspection.
People’s experience of using this service:
Staff did not always follow good practice techniques to support people to mobilise in a safe manner. They had not taken steps to assess the risk associated with these techniques.
There was sufficient numbers of staff on duty to meet people’s needs in a timely manner. The provider made relevant checks to ensure they employed staff who were safe to work with vulnerable adults. Staff understood their responsibilities to report any concerns they may have about people’s safety.
The service had safe protocols in place for managing and administering people’s medicines. Staff had the relevant training and experience they require to fulfil their role. They provided care that was effective in meeting the needs of people who used the service.
People’s nutritional were met. They had timely access to health care services when they required this. Staff made prompt referral and worked with other professionals to maintain consistent care to people where needed.
People were supported according to relevant guidance and legislation. People’s liberty was not restricted unlawfully. The environment met people’s needs and provided spaces for privacy and relaxation.
Staff were kind and compassionate to people. They supported people in a manner that promoted their dignity and independence. People were involved in decision about their care.
People received support that was tailored to their individual needs. Their care plans were reviewed regularly to reflect their current needs. They had various opportunities to engage in activities of interest. They were supported to maintain their personal and social networks.
The registered manager provided good leadership within the home. They were supported by a deputy manager. The home had an open culture where communication was effective and support easily accessed when required. They worked collaboratively with the local authority and other relevant organisations.
The service met characteristics of Good; more information is in the full report.
Rating at last inspection: Requires Improvement; published 03 April 2018.
At the last inspection in February 2018 we found two breaches of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. At this inspection we found the provider had implemented the necessary improvements. We found evidence to demonstrate and support the overall rating of Good. The service was no longer in breach of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.
Why we inspected: This was scheduled inspection based on previous rating.
Follow up: ongoing monitoring; we will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.