Archived: Evelyn Wright House

Updated 23 September 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 August 2016 and was unannounced. The inspection was completed by one inspector and one expert by experience. An expert by experience is a person who has personal experience of using a service like this, or has experience of caring for someone who uses a service like this.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report.

We reviewed the information we held about the service, including statutory notifications that the provider had sent us. A statutory notification is information about important events which the provider is required to send us by law. We also contacted health and social care commissioners who place and monitor the care of people living in the home.

During our inspection we spoke with 14 people who lived at the home, eight relatives or friends, seven members of care staff and the registered manager.

We looked at care plan documentation relating to five people, and three staff files. We also looked at other information related to the running of and the quality of the service. This included quality assurance audits, maintenance schedules, training information for care staff, staff duty rotas, meeting minutes and arrangements for managing complaints.

Updated 23 September 2016

This unannounced inspection took place on 16 August 2016. This residential care home is registered to provide accommodation and personal care for up to 35 older people. At the time of our inspection there were 31 people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe in the home. Staff understood the need to protect people from harm and abuse and knew what action they should take if they had any concerns. Staffing levels ensured that people received the support they required at the times they needed. There were sufficient staff to meet the needs of the people and recruitment procedures protected people from receiving unsafe care from care staff unsuited to the job.

Care records contained risk assessments and risk management plans to protect people from identified risks and helped to keep them safe but also enabled positive risk taking. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.

People were supported to take their medicines as prescribed. Records showed that medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

Improvements were required to ensure that people received the correct support with their meals and this was done with a person centred approach. People’s nutritional needs were assessed and people were suitably supported with their healthcare. People were actively involved in decisions about their care and support needs. There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS).

Staff supported people in a caring and compassionate manner. People had their privacy and dignity respected and visitors were welcome at any time.

Care plans described the support people required and explained people’s preferences and routines. People were given choices about how and where they spent their time and this was respected by staff. People and their relatives were involved in reviewing their care and when suggestions were made, this was fully considered by the staff.

There was a complaints procedure in place and people were supported and empowered to make a complaint if they wished to. Complaints were investigated and appropriate actions were taken.

The registered manager had a number of systems in place to monitor the quality of the service. People at the home reacted positively to the registered manager and the culture within the home focussed upon supporting people’s health and well-being. Systems were in place for the home to receive and act on feedback and policies and procedures were available which reflected the care provided at the home.