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Wilton Lodge Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 12 May 2018

This inspection took place on 4 April 2018 and was unannounced.

Wilton Lodge 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.

Wilton Lodge Residential Home provides accommodation and personal care for up to 36 older people, some of whom may live with dementia. It does not provide nursing care.

At our last inspection on (date) February 2017, the service was rated requires improvement and there were breaches of regulation 12, 13 and 17. This was in relation to assessing the risks to the health and safety of the service users, proper and safe management of medicines, systems and processes established and operated effectively to prevent abuse of service users and assess, monitor and mitigate the risks relating to the health and safety and welfare of service users.

At this inspection, we found that the provider had taken the required action to address these shortfalls and were meeting the required standards. The service has been rated good.

The service does have a registered manager. 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 felt safe in the service. Staff understood their responsibilities with regards to safeguarding people and they had received effective training.

Recruitment procedures were in place. Sufficient staff were on duty and were deployed effectively to meet the needs of people. Staff were competent in their roles and received support and guidance from management.

People's health care needs were met and they received support from healthcare professionals when required. Medicines were managed safely and audits were completed.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. People had been involved in planning their care and deciding in which way their care was provided, where possible. People’s care plans reflected their preferences and included personalised risk assessments to meet their needs.

People were supported to make choices in relation to their food and drink and a balanced, nutritious menu was offered.

Staff were kind and helpful. They provided care in a friendly and relaxed manner, treating people with respect. Staff promoted and maintained people’s dignity and provided encouragement to people throughout their support.

People, their relatives and staff knew who to raise concerns. Quality assurance processes were used to improve the service being provided.

Inspection areas

Safe

Good

Updated 12 May 2018

The service was safe.

People were supported to take their medicines safely by trained staff.

People were kept safe by staff trained to recognise and respond effectively to the risks of abuse.

Safe and effective recruitment practices were followed to help ensure that all staff were fit, able and qualified to do their jobs.

Sufficient numbers of staff were available to meet people�s individual needs at all times.

Effective

Good

Updated 12 May 2018

The service was effective.

People had their capacity assessed and best interest decisions completed to promote people�s choice.

People�s wishes and consent were obtained by staff before care and support was provided.

People were supported by staff who were trained to meet people�s needs effectively.

People were provided with a healthy balanced diet, which met their needs.

Caring

Good

Updated 12 May 2018

The service was caring.

People were cared for in a kind and compassionate way by staff who knew them well and were familiar with their needs.

People and their relatives were involved in the planning, delivery and reviews of the care and support provided.

Care was provided in a way that promoted people�s dignity and respected their privacy.

Confidentiality of people�s personal information had been maintained.

Responsive

Good

Updated 12 May 2018

The service was responsive.

People received personalised care that met their needs and took account of their preferences and personal circumstances.

People's care plans were personalised and gave guidance that enabled staff to provide person centred care and support.

People were supported to maintain social interests and take part in meaningful activities relevant to their needs.

People and their relatives were confident to raise concerns, which were dealt with promptly.

Well-led

Good

Updated 12 May 2018

The service was well led.

Regular audits were in place to quality assure the services provided, manage risks and drive improvement.

People and staff were very positive about the registered manager and how the home operated.

Staff understood their roles and responsibilities and felt well supported by the management team.