Windsor Court

Updated 18 March 2022

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

This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Windsor Court 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. Windsor Court is a care home with nursing 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. The registered manager was not present during our inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 four people using the service and one relative. We spoke with eight members of staff including the regional manager, interim manager, nurses, care workers and housekeeping. We viewed four people’s care plans and medicine records. We observed staff using PPE. We reviewed a range of records. This included a variety of records relating to the management of the service, including policies and procedures, safeguarding information and information on the safe management of infection control.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with five relatives about the care and support their loved one received.

Updated 18 March 2022

About the service

Windsor Court is a residential care home providing personal and nursing care for up to 44 people. At the time of our inspection there were 39 people living at the service. People’s bedrooms were arranged over three floors with communal lounges and dining areas on each floor. Care was provided to older and younger people, who were being supported with both their physical or mental health needs.

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

People and relatives we spoke with said they found the home to be welcoming and staff were friendly. One relative told us, “I find the place very warm and friendly. I have easy access to anyone that I need to speak to.”

Risks to people were appropriately assessed and managed. Staff had a good understanding of how to keep people safe and report any accidents or concerns. Risk assessments were in place to support people to be as independent as possible.

Safe recruitment practices were followed to ensure people were supported by staff with appropriate experience and of good character. There were sufficient staff to meet people’s needs. Staff we spoke with told us they felt supported by management and had the opportunity to maintain their skills and knowledge through access to training.

Systems were in place to ensure medicines were managed safely. People had access to healthcare professionals to meet their health care needs. One relative told us, “I think that they respond very well. If there is anything that he needs, they will tell me.’’

Staff were aware of people’s dietary needs and preferences. People’s needs and preferences were also clearly recorded in their care plans. One relative told us, “I know she must be eating more, because they told me the other day that they had put on three kilograms in weight. I don’t have any current concerns about their diet.”

The service was clean and odour free. Systems were in place to monitor how cleaning was being completed and to ensure safe care was maintained for people during the COVID-19pandemic.

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.

Quality assurance systems were in place to monitor the quality of service being delivered and the running of the home.

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 January 2019).

A targeted inspection took place in March 2021 (published 1 April 2021).

The service was inspected but not rated and therefore this did not change the last rating for the service.

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding people, how people’s nutritional needs were being met and the management of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

The overall rating for the service has not changed following this focused inspection and remains good.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Windsor on our website at www.cqc.org.uk.

Follow up

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