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The Windmill Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2021

About the service

The Windmill Care Home is a residential care home providing personal care and support for up to 29 people aged 65 and over. Some of the people were living with dementia. At the time of the inspection there were 25 people living at the service.

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

We identified some risks to the management of long term conditions such as for people with diabetes and for people requiring changes in their position to manage risks to the condition of the skin. Staff were not always sourcing medical advice and guidance to maintain people’s health and wellbeing, and not always following the guidance in place in people’s care records. However, these concerns were acted on after our inspection visit to maximise people's safety.

Information about people’s care and support needs and risks was recorded in multiple places, this did not ensure staff always had access to accurate and consistent guidance to maintain people’s safety. However, these concerns were acted on after our inspection visit.

People were supported to participate in a range of group and one to one activities to maintain social contact with others, and reduce isolation, particularly during the pandemic. Arrangements were in place for relatives and friends to complete face to face visits with people, with testing procedures and use of personal protective equipment in place to maintain safety.

The care environment was clean and comfortable, and the service had an ongoing refurbishment plan in place. People were involved in creating the weekly menus and were able to choose what they wished to eat. People received their medicines as prescribed, given to them by staff with the required levels of training and competency.

There were sufficient numbers of staff on each shift, who had completed training relevant to their roles. People and relatives gave positive feedback about the standards of care provided, and overall level of improvements being made at 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.

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 Inadequate, (published on 09 October 2019). The service had breaches of regulations, and 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 overall number of breaches of regulation had reduced. There remained a breach of regulation relating to good governance, safe care and treatment.

This service has been in Special Measures since 20 November 2018. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

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.

This comprehensive inspection was carried out to follow up on action we told the provider to take at the last inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enfo

Inspection areas

Safe

Requires improvement

Updated 23 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 23 July 2021

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 23 July 2021

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 23 July 2021

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 23 July 2021

The service was not always well-led.

Details are in our safe findings below.