Wrawby Hall Care Home

Wrawby Hall Care Home provides residential care to up to 34 people, some of whom are living with dementia. At the time of the inspection, there were 30 people living in the home.

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

There were sufficient numbers of skilled, competent staff to care for people safely. Staff knew when and how to raise safeguarding concerns and kept people safe from avoidable harm. Risks to people had been assessed and measures put in place to reduce identified risks.

People received personalised care and support based on a thorough assessment of their needs and preferences. They 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.

Staff were kind and cared for people as individuals and with compassion. They supported people to be as independent as possible. They gave people the information they needed to make informed decisions about their care and support.

Staff knew people well and cared for them in a way they preferred. People were supported to maintain their interests and to pursue hobbies. The registered manager welcomed feedback from people and their families and acted to make improvements where possible. Staff teams worked collaboratively to deliver high-quality care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 28 February 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

will usually lead to cancellation of their registration or to varying the conditions the registration.

Wrawby Hall is registered with the Care Quality Commission (CQC) to provide accommodation for up to 34 older people who may be living with dementia. Accommodation is provided over two floors. Secure gardens are provided at the rear of the property and a car park is available at the front. The service is situated off the main road that runs through Wrawby. People have access to local amenities. There were 30 people living at the service on the day of our inspection.

This service has a registered manager in place. 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 the legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found there were some minor shortfalls in the operation of systems at the service which were addressed by the medicine fridge being reallocated to make sure staff monitored the temperature of this effectively. We made a recommendation about the medicine shortfalls that we found.

We observed the staffing levels on the day were adequate to meet people’s needs. We received some feedback from visitors and a member of staff felt staffing levels at peak times could be improved. This was discussed with the registered provider and a director who informed us they would increase the staffing levels on an afternoon by having ancillary staff or bank staff on duty. The management team assured us staffing levels provided at the service would be kept under review.

Staff received training about protecting people from harm and abuse. Safeguarding issues were reported report to the local authority and Care Quality Commission.

Staff received training, supervision and appraisals which helped to support them and develop their skills.

Health care professionals told us staff contacted them and followed their guidance appropriately to maintain people’s wellbeing.

People’s nutritional needs were assessed and monitored and their preferences and special dietary needs were catered for. Staff encouraged and assisted people to eat and drink. Advice was gained, as necessary from GP’s and dieticians to ensure people’s nutritional needs were met.

Staff supported people to make decisions for themselves. People chose how and where to spend their time. Staff reworded questions to help people living with dementia understand what was being said.

Activities were provided and visiting was encouraged at any time. People visiting the service were made welcome.

A programme of redecoration and refurbishment had taken place and further improvements were scheduled. Pictorial signage was present to help people living with dementia find the bathrooms and toilets. Bedroom doors were numbered and named and some people had pictures present to help them find their bedroom. General maintenance occurred and service contracts were in place.

There was a complaints procedure in place. This was explained to people living with dementia or to their relatives so they could raise issues if they wished. People living at the service, their relatives and staff were asked for their views. Feedback received was acted upon. This helped the management team to maintain or improve the service provided.

The registered manager and senior staff undertook a variety of audits to monitor the quality of the service. The minor issues we found with the medicine systems had not been identified by the auditing process and the staffing levels provided were to remain under review. We were sent an action plan which told us what action had been taken to make sure the issues we found during our inspection would not occur again.

We saw that people looked comfortable, well cared for and that staff interacted with them in a friendly and supportive manner. We observed staff providing gentle reassurance to people, to ensure their individual wishes and feelings were met.

People told us they felt safe and had confidence appropriate action would be taken to resolve issues where this was required.

We observed staff demonstrated a commitment to their work and were friendly and approachable. We saw staff worked in a calm and professional way and there was evidence that training on a variety of courses was delivered, to ensure staff had the right skills to perform their work.

We saw that systems were in place to enable risks to people to be monitored and analysed. We saw these included incidents and accidents, the medication system, care plans and complaints to ensure action was taken to mitigate identified trends.

We saw that care plans included sufficient information to guide staff on the level of support each person needed and that they were being kept up to date by staff. People told us that they felt safe living at the home and that they trusted staff to support them and look after them.

We found the home to be clean, hygienic and maintained in a safe condition. Staff were following robust hygiene practices and there were maintenance certificates in place to show that gas and electrical installations were safe and that lifts and hoists had been serviced.

Staff had received appropriate training opportunities, including induction training when they first started to work at the home. We also found that there were sufficient staff on duty to meet the needs of people who lived at the home.

There was a complaints policy and procedure in place and we saw that any complaints made had been dealt with professionally.