Wingates Residential Home

Updated 20 November 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Wingates Residential Home is a ‘care home’. 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 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.

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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and five relatives about their experience of the care provided. We spoke with six members of staff including the provider, registered manager, two senior carers, a care assistant and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records including care files for four people and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. We looked at training records, health and safety records, meeting minutes audits and other records about the management of the home.

Updated 20 November 2019

About the service

Wingates Residential Home provides accommodation for 36 people, all in single rooms. The home is situated on a main road in the Westhoughton area of Bolton. It is on a bus route to the town centre, and is close to the motorway network. There is a car park, a garden, and a patio area. On the day of the inspection there were 35 people living at the home permanently and one person on a respite break.

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

A number of audits were undertaken but these were completed inconsistently. We have made a recommendation about how the service implements a consistent programme of audits.

The service had systems to follow to keep people safe and staff had appropriate training. Health and safety checks and required certificates were complete and up to date. The service documented general and individual risk assessments, which were reviewed regularly. The home was clean and fresh and infection control measures were followed. Medicines were managed safely at the service.

Staff were recruited safely and staffing levels were sufficient to meet people’s needs. There was an on-going training programme to ensure staff skills remained current.

The environment had been improved with new furnishings, flooring and there was an on-going improvement plan.

Care files included a comprehensive assessment and a range of health and personal information. These were inconsistently completed, which was being addressed by the registered manager. People’s oral health needs were addressed.

People’s oral health and nutritional needs were assessed and any issues addressed. The dining experience was pleasant, relaxed and friendly. The registered manager was in the process of changing the menus as requested by people who used the service.

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.

Staff were trained in equality and diversity and people told us they were treated well. We saw that people were well presented and were laughing and chatting throughout the day. Staff respected people’s dignity and privacy when offering support and care throughout the day.

People told us they were given choices and their preferences were recorded in the care files. People’s religious, spiritual and cultural beliefs were documented appropriately and supported by staff at the home. People’s wishes for when they were nearing the end of their lives were recorded within the care files.

Various activities were on offer at the home. Complaints had been addressed appropriately and we saw a number of compliments.

The registered manager was clear about leading by example and working with the staff to help improve delivery of care. Staff members felt the new registered manager was supportive and helpful. Residents’ and relatives’ meetings were held regularly and were well attended.

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 11 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.