Background to this inspection
Updated
4 January 2017
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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The inspection took place on 16 November 2016 and was unannounced.
The inspection team consisted of 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.
We looked at the information we held about the service. We looked at the notifications that we had received from the provider about events that had happened at the service. A notification is information about important events which the provider is required to send us by law. We reviewed the information we received from other agencies that had an interest in the service, such as the local authority and commissioners.
We spoke with seven people who used the service; they were able to tell us about their experiences of the service. We spoke with other people but due to their communication needs they were unable to provide us with detailed information about their care. We spoke with two relatives of people who used the service to gain feedback about the quality of care. We spoke with the registered manager, one team leader and four care staff. We looked at four people’s care records, staff rosters, two staff recruitment files and the quality monitoring audits. We did this to gain people’s views about the care and to check that standards of care were being met.
Updated
4 January 2017
This inspection took place on 16 November 2016 and was unannounced. At our last inspection in June 2015 we found that the service was not always as safe, responsive, caring, effective or as well led as it should be. We asked the provider to take action to make improvements so that people were safeguarded from abuse, medicines were managed safely and people consented to their care and treatment. We received an action plan from the provider and saw at this inspection that the improvements had been made. However, at this inspection we found a further breach of the Regulations in relation to the governance arrangements.
Wilford House provides support and care for up to 30 older people. At the time of this inspection 20 people used the service.
The service had a registered manager. 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.
The provider did not have effective systems in place to assess, monitor and improve the quality of care.
Staffing levels were sufficient to provide safe care and support to people but staff were not always offered the opportunity for up to date training or supervision with their line manager to further their learning or to discuss work related issues. Recruitment procedures ensured people of good character were employed.
People were not offered opportunities to participate in leisure and recreational activities of their choice.
The provider followed the principles of the Mental Capacity Act 2005 by ensuring that people consented to their care or were supported by representatives to make decisions.
People’s nutritional needs were met and they were supported to eat and drink sufficiently to maintain their health.
Medicines were managed safely by senior staff and people were supported to access a range of health care services. When people became unwell staff responded and sought the appropriate support.
People were supported to maintain their own level of independence and were treated with dignity. People's privacy was respected.
The provider had a complaints procedure, and people were aware of to whom they could raise any concerns or complaints.