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Inspection Summary


Overall summary & rating

Good

Updated 30 December 2017

We carried out an unannounced comprehensive inspection of Winnett Cottage on 23 November 2017. Winnett Cottage 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.

We previously carried out a comprehensive inspection at Winnett Cottage on 11and 16 December 2015 and we found breaches of regulations 09, 13, 16 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We also identified a breach of Regulation 18 of the Care Quality Commission Registration Regulations 2009. The provider submitted an action plan that told us they would meet the minimum requirements by 29 April 2016. We carried out an unannounced focused inspection at Winnett Cottage on 26 May 2016 and found improvements had been made.

At this inspection we found that further improvements had been made and the provider was meeting the required standards.

Winnett Cottage is registered to provide residential care for up 12 people living with mental health needs. At the time of our inspection seven people were living at Winnett Cottage.

The home had a manager in post who was in the process of registering at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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. We received information shortly after the inspection that the manager had been registered with CQC.

People felt safe living in the home and told us they regularly discussed with staff their needs and how to keep safe.

Staff received training and appropriate support from the managers to carry out their roles effectively.

Risk to people`s wellbeing were identified, regularly discussed with people and measures to mitigate the risks were regularly reviewed to ensure they were still effective.

People`s medicines were managed safely by well trained staff who had their competencies assessed. Where people were able they were supported to manage their medicines.

The provider had policies and procedures in place to protect people from the risk of infections and staff adhered to these.

There were enough staff employed through robust procedures to meet people`s needs effectively.

People were involved in planning their care and support, signed their own care plans and consented to the support they received.

People were involved in duties around the home like cleaning, laundry, cooking meals. Some people were working towards achieving their goals of moving to less supported care services.

People had opportunities to pursue their hobbies, interests and socialise in-house and in the community.

People`s feedback about the service they received was regularly sought and they felt they could voice their opinions in meetings and one to one conversations they had with staff.

People and staff were positive about the management of the service. There were systems in place to ensure the quality of the service was monitored and improved if the need was identified.

Inspection areas

Safe

Good

Updated 30 December 2017

The service was safe.

People were protected from harm because a system of reporting, reviewing and identifying risks to people was robust and consistent.

People at risk of harm, had appropriate assessments and actions taken to mitigate the risk of harm from happening.

There were enough staff employed through robust procedures to meet people`s needs effectively.

People`s medicines were managed safely by trained staff who had their competencies assessed regularly.

People were protected from the risk of infections.

Effective

Good

Updated 30 December 2017

The service was effective.

Staff received training and support to enable them to carry out their roles effectively.

People were asked for their consent and staff respected their decisions regarding the care and support they received.

People were supported to have good nutritional intake.

People received support to attend their health care appointments.

Caring

Good

Updated 30 December 2017

The service was caring.

People were supported by staff in a caring way.

People received support to remain independent and to develop everyday living skills.

People`s wishes and preferences were respected by staff.

People's records were stored securely and were available when requested.

Responsive

Good

Updated 30 December 2017

The service was responsive.

People received care that was responsive to their individual needs.

People received support to work towards their set goals and move to less supported care services.

Complaints received had been appropriately investigated, recorded and responded to.

Well-led

Good

Updated 30 December 2017

The service was well led.

The manager had reviewed the service and developed a comprehensive service improvement plan and actions were monitored where improvements were needed these were achieved.

The registered manager had established good working relationships with funding authorities and other health professionals involved in people`s care.

The registered manager had a clear vision about the service and how to improve the support people were receiving in order to effectively enable people to achieve their goals.

Staff were clear on their roles and responsibilities and felt supported by the management of the service.