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Wythall Residential Home Requires improvement

All reports

Inspection report

Date of Inspection: 7 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 PDF | 77.72 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 7 November 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive. The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.

Reasons for our judgement

At our last inspection of the care home we identified that the home was not compliant with this regulation and that the non-compliance presented a minor risk for people using the service. Further development of the systems in place to monitor the quality of service provided was needed. The provider wrote to us and told us how improvements had been made. The findings of this inspection on 7 November 2013 showed that these improvements had been made.

Since our last inspection, systems in place for people using the service and their relatives to express their views about the service they received had been further developed. Service satisfaction surveys had recently been given to people using the service and their families. A report based on their feedback had been written. This identified that most people were happy with the service they received and actions had been taken in response to any negative feedback obtained. Regular group meetings involving people using the service were also taking place. We spoke with nine people who were using the service and two people's relatives. They told us that they were happy with the quality of care provided at the home.

There was evidence that learning from incidents took place and that appropriate changes were implemented. We looked at accident and incident records involving people using the service. These records included details of the actions taken by staff in response to these events. These actions were appropriate. For example emergency services were sought or referrals to the community nursing team had been made.

The provider took account of complaints and comments to improve the service. A complaints policy was in place. Information about how people could raise concerns was on display and was included in the written information given to people when they started to use the service. This meant that people would know how to raise any concerns they had.

We looked at the complaints register held at the home. This identified that since our last inspection there had been one complaint made against the service. Records identified that appropriate and timely actions had been taken in response to this. A relative told us “I would be happy to raise any concerns that I had, however I have not had any complaints.”

Audits were undertaken in order to monitor the quality of service. These included infection control, health and safety of the premises, care and medication records and accidents that involved people using the service. Regular checks on equipment were undertaken to ensure that they were safe to use. However, the provider may find it useful to note that an electrical certificate was just out of date. Shortly after the inspection the manager told us that action had been taken to address this.

At the time of our last inspection, staff meetings had not taken place regularly. However, improvements had been made and staff meetings were now being held regularly. This meant that staff had opportunities to discuss any issues affecting the service and their work there. This included any identified shortfalls in the service provided so that staff could be made aware of the improvements that were needed. In addition, a staff communication diary was regularly being used in order to share information between the staff team.

Regular meetings were held between the provider and the registered manager. Quality aspects of the service provided were discussed at this time. Quality monitoring visits were undertaken at the home by an external senior manager. This included visits during night time hours. People using the service and staff were involved in these visits. This meant that people using the service or staff had regular opportunities to speak with them.