At our last comprehensive inspection in March 2017 the service was rated ‘Requires Improvement’. At that inspection we identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These breaches were in relation to the management of medicines and incorrect moving and handling procedures. At this inspection we found that the registered provider had addressed these breaches. At this inspection the service was rated as ‘Good’.Priscilla Wakefield House is a care home with nursing. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home accommodates a maximum of 117 people. At the time of our inspection there were 108 people living at the home. There are five units in the service. Copperfield and Havisham are units for people requiring nursing care; Nickleby for residential care. Dorrit unit for people living with dementia and requiring nursing care and Pickwick for younger adults who may have dementia, brain injury or a physical disability and who require nursing care and rehabilitation.
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 told us they trusted the staff and felt safe in their care. People using the service were relaxed with staff and the way staff interacted with people had a positive effect on their well-being.
Staff understood their responsibilities to keep people safe from potential abuse, bullying or discrimination.
Risks had been identified and recorded in people’s care plans and ways to reduce these risks had been explored and were being followed appropriately.
There were systems in place to ensure medicines were handled and stored securely and administered to people safely and appropriately. Medicines were being audited regularly so any problems could be identified and addressed in good time.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff understood the principles of the Mental Capacity Act (MCA 2005) and knew that they must offer as much choice to people as possible in making day to day decisions about their care.
People were included in making choices about what they wanted to eat and staff understood and followed people’s nutritional plans in respect of any healthcare needs or religious requirements people had.
People had regular access to healthcare professionals such as doctors, dentists, chiropodists and opticians.
Staff treated people as unique individuals who had different likes, dislikes, needs and preferences.
Everyone had an individual plan of care which was reviewed on a regular basis.
The complaint process and subsequent investigations were not always transparent which meant the complainant did not always know what was happening with their complaint or if changes and improvements had been made and lessons learnt as a result. We have made a recommendation about the complaints process.
People, their relatives, staff and health and social care professionals were all included in monitoring the quality of the service. They told us the home was well managed and the management were open and supportive.