Background to this inspection
Updated
11 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
On the first day of the inspection the inspection team consisted of one CQC 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. On the second day of the inspection the inspection team consisted of one CQC Inspector.
Service and service type:
Wordsworth House Care 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 registered manager in post. A registered manager is a person who has 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:
The inspection was unannounced.
What we did:
Before the inspection we reviewed information we held about the service and the service provider. This included information about incidents the provider had notified us of and contacting health professionals for their views on the service. We also looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
During the inspection we spoke with 19 people who used the service, four visiting relatives and a visiting health professional, to ask about their experience of the care provided. We spoke with 13 members of staff which included, the registered manager, the deputy manager, the business manager, activities staff, care workers and housekeeping staff. Immediately following the inspection, we received feedback from a further two health professionals. During our inspection we also observed care practices and the interaction between staff and people.
We reviewed a range of records that included four people’s support and care plans, daily monitoring charts and medicines records. We also looked at a range of records relating to the management and monitoring of the service. These included staffing rotas, staff recruitment records, staff supervision and training records, premises maintenance records, accident and incident records, meeting minutes and a range of the providers audits, policies and procedures.
Updated
11 June 2019
About the service:
Wordsworth House Care Home is a care home without nursing registered to provide accommodation and personal care for up to 51 older people. At the time of our inspection 41 people were living in the 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.
People’s experience of using this service:
People told us they felt safe, they were relaxed and familiar with the staff and each other. People were cared for by a consistent staff team who had received appropriate training to carry out their roles. Staff spoke knowledgably about the systems in place to safeguard people from potential abuse.
The service was working within the principles of the Mental Capacity Act 2005. However, we have made a recommendation regarding the management of people’s Deprivation of Liberty Safeguards conditions.
People’s dietary needs and preferences were assessed and where needed, people received support to eat and drink. Meal times were an important social event in the day for those who chose to eat together. People enjoyed their meals, one person told us, “The food here is really good.”
People’s medicines were managed safely, stored securely and administered by trained staff. People received assistance to take their medicines as prescribed and were supported to access health care services.
People received care from staff that knew them well and treated them with kindness, compassion, respect and dignity. People received care that was tailored to their individual needs and maintained their independence as much as possible. Care plans were comprehensive, person centred, respectful, and reviewed regularly to ensure they reflected people’s needs.
Staff received regular supervision and annual appraisals to ensure they were fully supported in their role. There was a robust training programme that staff felt was effective and well delivered.
The service had a full and varied activity programme for people to enjoy if they wished. Activities included outings to places of interest, towns as well as indoor activities and supporting people to take part in activities on a one to one basis to prevent social isolation.
People and their relatives knew how to complain and were confident their views would be heard.
No people were receiving end of life care at the time of our inspection visit. Staff spoke knowledgably about end of life care and were proud of the care they provided to people at this time of their lives.
There was a system of audits and spot checks in place to ensure the service received ongoing monitoring to review the quality of the service provided.
People, relatives, staff and health professionals expressed confidence in the management team and felt the service had a clear management structure and an open and supportive culture.
More information is in our detailed findings below.
Rating at last inspection:
The previous inspection was comprehensive. The overall rating was Good (report published in November 2016).
Why we inspected:
This was a planned inspection based on the rating from the last inspection. The service remained rated Good overall.
Follow up:
We will monitor information received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.