Wishmoor Rest Home

Updated 20 December 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors and an Expert by Experience on the first day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience carried out telephone calls offsite. One inspector and an operations manager carried out the inspection on the second day.

Service and service type

Wishmoor Rest Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Wishmoor Rest Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced. The second day was announced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including notifications of significant events. We contacted the local authority to ask for feedback. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, deputy manager, quality assurance manager, maintenance person, activity staff, the chef and 6 care staff., We reviewed a range of records. This included 6 people's care and medicines records and 3 staff records. A variety of records relating to the management of the service, including audits were also reviewed. After the inspection, we spoke with 5 relatives to gain their views of the service provided. A healthcare professional emailed us their feedback of the service.

Updated 20 December 2023

About the service

Wishmoor Rest Home is a residential care home for 28 people living with dementia. At the time of our inspection 25 people were using the service.

People’s experience of using this service and what we found

The provider had systems and processes in place to protect people from the risk of abuse. Staff had received training and shared good knowledge of how to raise concerns. People and relatives told us they felt safe and would be listened to if they raised concerns. The provider had risk assessments in place to help reduce risk and keep people safe.

People were supported by kind, caring staff who knew them well. Staff had completed an induction process, shadowing and had their competency assessed before commencing their roles. Staff received the relevant training to meet people’s care needs. Staff were recruited safely into the service and some staff had taken roles as dignity champions.

Medicines were managed safely. Accidents and incidents were monitored, with lessons learned and action taken to mitigate risks to people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People's privacy, dignity and independence was respected. People were able to personalise their rooms and had additional communication aids to support their decision making.

The provider offered a range of activities, both internally and externally which people enjoyed. Visitors and relatives were welcomed into the home to take part in activities and share their loved one’s experiences.

The provider had a consistent management team and governance systems were in place to provide regular oversight of the service. Internal audits were completed by the provider, registered manager and deputy manager.

Effective systems were in place to gather feedback from people, relatives, staff and professionals which was used to drive improvements and positive outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good [published 18 October 2018].

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.