Archived: Wyndthorpe Hall and Court Care Home

Updated 6 November 2015

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.

We carried out this inspection 17 August 2015 and was unannounced. The inspection team consisted of two inspectors and a specialist advisor. The specialist advisor was a qualified pharmacist and helped us to check medicines.

We spoke with five care staff, the covering manager, the unit manager for the Court and the area manager. We asked five people who used the service and two relatives for their views and experiences of the service and the staff who supported them.

We visited the service to look at records around how people were cared for and how the service was managed. We looked at the care records for ten people and also looked at records that related to how the service was managed.

Before the inspection the registered manager of the service had 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.

Before our inspection we reviewed the information we held about the service, including the information in the PIR.

Updated 6 November 2015

We inspected Wyndthorpe Hall and Court Care Home on 17 August 2015. The inspection was unannounced.

Wyndthorpe Hall and Court Care Home provides accommodation and personal care and is registered for 44 people. On the day of the inspection 36 people were receiving care services from the provider. The home is comprised of two units, the Hall and in the Court.

The home was in the process of recruiting a registered manager and the home was being managed by the registered manager from another of the provider’s homes on an interim basis.

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.

When we visited the home in December 2014 we found it was in breach of regulations ; Regulation 12 HSCA 2008 (Regulated Activities) Regulations 2010 Cleanliness and infection control, Regulation 13 HSCA 2008 (Regulated Activities) Regulations 2010 Management of medicines, Regulation 18 HSCA 2008 (Regulated Activities) Regulations 2010 Consent to care and treatment.

We found that the provider had continued a programme of improvement and changes had been implemented which satisfied previous breaches of regulation. Whilst this had a positive impact on the people who used the service we found some areas still required some improvement. The administration, record keeping and stock management of medicines needed to continue to be improved.

Care staff knew how to identify if a person may be at risk of harm and the action to take if they had concerns about a person’s safety.

The care staff knew the people they were supporting and the choices they had made about their care and their lives. People who used the service, and those who were important to them, were included in planning and agreeing to the care provided.

The decisions people made were respected. People were supported to maintain their independence and control over their lives. People received care from a team of staff who they knew and who knew them.

People were treated with kindness and respect. One person who used the service told us, “It’s smashing, I have everything I need.”

The provider had recruitment systems to ensure that new staff were only employed if they were suitable to work with vulnerable people. However, the systems were not always observed. The staff employed by the service were aware of their responsibility to protect people from harm or abuse. They told us they would be confident reporting any concerns to a senior person in the service or to the local authority or CQC.

There were sufficient staff, with appropriate experience, training and skills to meet people’s needs. The service was well managed and took appropriate action if expected standards were not met. This ensured people received a safe service that promoted their rights and independence.

Staff were well supported through a system of induction, training, supervision, appraisal and professional development. There was a positive culture within the service which was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to maintain their independence.

The service was well-led. There was a formal quality assurance process in place. This meant that aspects of the service should be formally monitored to ensure good care was provided and planned improvements were implemented in a timely manner. We found that the audit s carried out did not always identify discrepancies and areas for improvement in relation to records.

There were good systems in place for care staff or others to raise any concerns with the registered manager.