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Windermere Rest Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 9 May 2019

About the service: Windermere Rest Home is a small privately-owned care home. The service can provide care and accommodation for up to ten older people. At the time of our visit nine people were being accommodated. People living in Windermere Rest Home may have care needs associated with living with dementia.

People’s experience of using the service:

The service did not have robust infection control and cleaning procedures in place.

There were lapses in the documentation relating to the checking of equipment used to lift people.

Systems for governance and oversight were not sufficiently robust to address the issues highlighted at inspection.

Staff had been recruited safely with the appropriate recruitment checks. People spoke positively about the staff and registered manager. Staff had the appropriate training.

Medication was managed safely.

The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required.

Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed choices.

People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis.

The manager responded to complaints received in a timely manner. Support was given to people at the end of their life.

We recommend that the PRN protocols are kept with the medication administration charts for staff to follow and that the advice given in audits is followed.

We recommend the provider considers making the environment more dementia friendly when planning any refurbishment. For example, the use of brighter colours and changing door colours to help people living with dementia navigate themselves around the service.

We recommend the registered manager reviews activities on offer and matches these with the needs of the people living at the service, while considering some people would benefit from one to one activities.

Rating at last inspection: Good (report published 4 October 2016)

Why we inspected: This was a planned inspection based on the previous rating.

Enforcement: We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to safe care and treatment and good governance: Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor information and intelligence we receive about the service to ensure good quality is provided to people. We will return to re-inspect in line with our inspection timescales for Requires Improvement services.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 9 May 2019

The service was not always safe

Details are in our Safe findings below



Updated 9 May 2019

The service was effective

Details are in our Effective findings below.



Updated 9 May 2019

The service was caring

Details are in our Caring findings below.



Updated 9 May 2019

The service was responsive

Details are in our Responsive findings below.


Requires improvement

Updated 9 May 2019

The service was not always well-led

Details are in our Well-Led findings below.