Background to this inspection
Updated
13 January 2021
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector and one assistant inspector.
Service and service type
Wainford House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager but they were not registered with the Care Quality Commission. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided. The manager has applied for registration with the CQC.
Notice of inspection
We called the service to announce our inspection visit two hours before the inspection team arrived. This was to ensure we could ask the service for specific information regarding if there were any people using the service who had a positive test for Covid-19 and the provider’s procedures for infection control and Covid-19, to ensure we were working within these procedures.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This 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.
We reviewed information we had received about the service since the last inspection and we sought feedback from the local authority. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service about their views of the service provided. We spoke with six staff members, including the manager and a senior care assistant.
We reviewed a range of records. This included care records, including care plans and risk assessments in areas such as choking, nutrition and hydration, oral care and supporting people to manage diagnosed health conditions. We reviewed staff training records and records relating to the safe recruitment of staff. A variety of records relating to the management of the service, including audits and quality assurance were reviewed.
After the inspection
We sought clarification from the manager to validate evidence found. We looked at the training matrix, staffing data and quality assurance records. We spoke with four relatives of people living the service for their views.
Updated
13 January 2021
About the service
Wainford House is a residential care home providing accommodation and personal care for up to 28 people aged 65 and over. At the time of the inspection the home was supporting 18 people. The service does not provide nursing care.
People’s experience of using this service and what we found
At this inspection we found that risk assessments designed to record how to keep people safe had improved since our last inspection and were reviewed and amended as necessary. There were clear procedures in place which were operated effectively for the purpose of protecting people from abuse. The manager had addressed the issues identified at the last inspection regarding the heating of the service and recording temperatures, securing wardrobes to the wall, installing stair gates and radiator covers
People living at the service, their relatives and staff working at Wainford House informed us there were enough staff on duty throughout the day and night to provide the care required. The service had a recruitment process which was used by the manager to recruit staff. Senior staff had been trained in the administration of medicines and people received their medicines as prescribed. The manager reviewed events at the service with the staff to determine if any lessons could be learnt. Staff received training in various subjects including infection control and received supervision and appraisals.
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 specific communication needs were known, respected and met. Each person had a care plan which included person-centred information about them. People’s desired outcomes were known, and staff worked with people, relatives and relevant professionals to help achieve and review these with their consent.
The manager had implemented a robust and effective governance system to monitor the service performance and act upon any issues identified. Staff understood their roles and responsibilities. Staff informed us they enjoyed working at the service because they were well supported. Annual surveys gave people, relatives, staff and visiting professionals an opportunity to express their views and contribute to improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was inadequate (published 29 January 2020) and there were two breaches of regulation. The provider completed actions after the last inspection to improve the service. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
This service has been in Special Measures since 29 January 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This was a planned inspection based on the previous rating.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Inadequate to Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wainford House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.