12 August 2022
During an inspection looking at part of the service
Wisteria House Residential Home is a care home which is registered to provide personal care to 13 people. There were 13 older people living at the service at the time of inspection.
The home had a passenger lift, which makes access to the first floor easier. The house is an older style building set over two floors with some rooms less suitable for people with mobility difficulties. The management team considered the nature of the building when assessing people who wished to move in, to ensure their needs could be met.
People’s experience of using this service and what we found
The provider had improved oversight of the home since the last inspection. This included actions and procedures to reduce the risk of preventable harm, better protect people from the spread of infection and consistently robust checks when recruiting prospective staff.
Since our last inspection fire safety had improved and was well managed. There had also been significant improvements to the home environment and décor. This had improved safety and people’s quality of life.
People told us they felt safe living at Wisteria House Residential Home. This view was shared by relatives.
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.
People, relatives and staff praised the registered manager about the improvements they had made to the home and their passionate approach in providing good quality care.
Staff told us they enjoyed working at the home which had a supportive and homely feel. Staff told us they felt valued. They were encouraged and supported to develop their practice and progress professionally.
Surveys were undertaken which gave people, relatives and staff the opportunity to say what the home did well and what they could do to improve. Feedback from the July 2022 survey was unanimously positive.
The home had developed and maintained good working relationships with GPs, district nurses, social workers and the local authority care home in-reach team. The registered manager recognised how the home could benefit from and contribute to the local community.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection and update
The last rating for this service was requires improvement (published 17 June 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that the provider reviewed medicines management, staffing levels and the deployment of staff to ensure people's needs were met in a timely way. At this inspection we found medicines management had improved, staffing levels had increased and there was a full staff team to meet people’s needs.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We carried out an unannounced focused inspection of this service on 12 May 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, good governance and fit and proper person employed.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wisteria House Residential Home - Somerset on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.