Background to this inspection
Updated
24 February 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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 15 December 2016 and was unannounced. The inspection team consisted of one inspector.
Before we visited we reviewed the information we held about the service including notifications. Notifications are about events that the provider is required to inform us of by law.
During our visit we spoke with four people who used the service, three relatives for their feedback about the service provided. We also spoke with a visiting healthcare professional. We observed staff interacting with people to help us understand people's experience of the care and support they received. We spoke with the registered manager, four members of staff, the cook, and the provider’s representative.
We looked at all or parts of the care records for four people, the training and induction records for four staff and three people’s medicine records along with other records relevant to the running of the service. This included policies and procedures, records of staff training and records of associated quality assurance processes.
We also consulted commissioners of the service who shared with us their views about the care provided.
Updated
24 February 2017
We carried out an unannounced inspection of the service on 15 December 2016.
Winthorpe Hall is registered to accommodate up to 28 people with personal care and nursing needs. There were 13 people living at the home at the time of our inspection.
There was a manager registered with the Care Quality Commission (CQC). 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.
People were safe who used the service. Staff had received safeguarding training. Staff had a good understanding of safeguarding matters and the action they would take to report any concerns they found.
Risks were identified and assessed. Care had been planned for each individual to ensure the levels of any risks were kept to a minimum.
Appropriate equipment was in place and each person had an emergency evacuation plan in place.
People and their relatives felt there were sufficient staff who were trained to support people and where relevant necessary procedures were followed to ensure safe care practices were always used.
People received their medicines safely and correctly. Systems were in place to ensure staff responsible for administering medicines did so in a safe way.
People were cared for and supported by knowledgeable staff. Staff assessed people’s needs to ensure they received effective care.
Staff received a robust induction, supervision, a yearly appraisal and attended relevant training courses to develop their skills and knowledge.
People gave their permission for care and treatment they received. The provider followed appropriate guidelines for the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) which are a requirement of the MCA.
People received positive experiences at lunch time and were able to make their own choices. They received sufficient to eat and drink and where relevant food preferences were adhered to.
People were supported to maintain good health and had access to healthcare services to support their health needs.
People were cared for by caring staff who treated them with dignity and respect. Staff interacted well with people and they were encouraged to develop caring relationships with the people they cared for.
People’s choices and preferences were accommodated. People were supported to follow their hobbies and interests.
People were happy with the way the home was managed. They were confident to raise any concerns or complaints with the appropriate staff member. The culture of the service was open and transparent and people could share their views and experiences.