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Wardington House Nursing Home Good

Reports


Inspection carried out on 13 August 2020

During an inspection looking at part of the service

Wardington House Nursing Home specialises in care and support for people living with Dementia and is registered for up to 60 people.

The provider had researched the most effective personal protective equipment and as a result had invested in powered air-purifying respirators (PAPRs) for staff to wear if providing care to people who had suspected or confirmed COVID 19. These respirator masks provided staff with the highest level of protection. The matron had delivered practical training to 88 care staff in small groups, so they could get used to wearing the respirator helmets and for people to get used to seeing staff in the respirators. Staff felt very well supported and protected by the provider.

The provider had implemented enhanced cleaning, including cleaning of regular contact points, four times a day. The provider had researched environmental decontamination and invested in three hydroxyl generators to keep the environment clear of bacterial and viral particles. Hydroxyls are safe naturally-occurring molecules created in the air by ultraviolet light form the sun. The generators create hydroxyls indoors and do not harm the occupants of a building. Hydroxyls destroy viruses and other bacteria in the air, on furniture, furnishings, or any other surfaces. The nurses had a system to rotate this equipment around the home to ensure all areas were covered.

The provider had created an isolation unit in an area of the home which was designated for people with suspected or confirmed COVID 19. The nurses used creative ways to keep staff knowledge current, including COVID 19 quizzes and online video clips of information. There were also regular handwashing training exercises to demonstrate to staff the importance of effective handwashing.

The provider had registered for regular testing of care staff with the government. When there was a delay in the supply of government testing kits, the provider had paid privately to have staff tested.

The provider had regularly written to relatives to keep them up to date on infection control measures. There were systems in place to enable relatives to visit all people outside and some people inside.

The provider had regularly written to staff thanking them for their hard work and stressing the importance of social distancing outside of work and the importance of good infection control.

The provider had robust systems in place to ensure that new people moving in, or people returning from hospital did not bring COVID 19 into the home. This included people being cared for in the isolation area of the home until they had received a test.

Inspection carried out on 8 July 2019

During a routine inspection

About the service

Wardington House Nursing Home is a care home providing personal and nursing care to 44 people aged 65 and over at the time of the inspection.

Wardington House Nursing Home accommodates up to 60 people in one adapted building and the majority of people were living with dementia.

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

People, relatives, visitors and professionals were overwhelmingly positive about the care and support people received. One person commented, “They [staff] do give you a lot of attention.” A visitor said, “I absolutely think that everyone and everything here is done expertly.” Feedback from healthcare professionals was highly complimentary. Two healthcare professionals confirmed they had never seen such good care for people and had nothing but praise for the staff team.

We observed extremely caring interactions between staff and people in the home. There were staff always available for people to chat with or receive support from. Staff were vigilant and aware of when people required help.

People were truly respected as individuals. Staff understood people’s needs and gave people time and space to express themselves. People were encouraged to engage in activities but were respected if they choose to spend time alone.

The service was well run. The registered manager and matron promoted an inclusive and person-centred culture at the service. Staff shared the visions and values of the service and these were embedded within service delivery.

Systems were in place to assess the quality of the service provided. Learning from audits and events took place which promoted people's safety and quality of life.

There were various meaningful activities available for people. The emphasis was to offer people time to engage with each other and staff as and when they wanted to. Staff wanted to ensure people were involved, stimulated and supported to maintain their interests.

People received support that met their needs and was in line with care plans and good practice. People were supported to maintain a good diet. Staff worked well with external agencies to meet people’s changing needs.

People were protected from the risk of harm by staff who understood their responsibilities to report concerns. Medicines were managed safely.

People 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.

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 24 March 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.

Inspection carried out on 8 February 2017

During a routine inspection

Wardington House Nursing Home is a care home for up to 60 people. At the time of our inspection there were 40 people using the service. The home specialises in supporting people who are living with dementia.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated good:

People remained safe living in the home. There were sufficient staff to meet people's needs and staff had time to spend with people. Risk assessments were carried out and promoted positive risk taking which enable people to live their lives as they chose. People received their medicines safely.

People continued to receive effective care from staff who had the skills and knowledge to support them and meet their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service support this practice. People were supported to access health professionals when needed and staff worked closely with people's G.P's to ensure their health and well-being was monitored.

The service continued to provide support in a caring way. Staff supported people with kindness and compassion. Staff respected people as individuals and treated them with dignity. People and their relatives felt involved in decisions about their care needs and the support they required to meet those needs.

The service continued to be responsive to people's needs and ensured people were supported in a personalised way. People's changing needs were responded to promptly. People had access to a variety of activities that met their individual needs.

The service was led by a registered manager who promoted a service that put people at the forefront of all the service did. There was a positive culture that valued people, relatives and staff and promoted a caring ethos.

Inspection carried out on 16 October 2014

During a routine inspection

We carried out our inspection on 16 October 2014. This was an unannounced inspection.

The service had a registered manager who was responsible for overall management of the home. 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 and associated Regulations about how the service is run.

Wardington House is a care home providing nursing care for up to 60 people. The home specialises in caring for people living with dementia. At the time of our visit there were 46 people living at the home. The ethos at Wardington House is to support people to live as independently as possible by actively encouraging choice and promoting positive risk taking.

Medicines were administered safely. Some people were prescribed medicines that were not contained in a monitored dosage system. Records of stock balances for some of these medicines were not always correct.

The management of the home ensured that people were on minimal medication. This approach was seen positively by all health professionals we spoke with.

Nursing and care staff were skilled and knowledgeable in their roles. Health and social care professionals we spoke with prior to the inspection told us that staff always had a good knowledge of both the clinical and social needs of people.

On the day of our visit there was a calm and relaxed atmosphere in the home. Staff were kind and caring when supporting people, treating them with dignity and respect. People were engaged in a variety of activities throughout the day. We saw four people chatting and laughing with the activity coordinator as they played a board game; others in the room were joining in the conversation. Where people became anxious staff used their knowledge of the person to calm and reassure them. People were free to walk about the home and gardens and were supported by staff to do so. During our visit there was always staff available to meet people’s needs in a timely manner.

Staff, visitors and professionals told us the management of the home were extremely open and approachable. We saw the registered manager and senior staff interacting in a friendly and supportive manner with people using the service, visitors and staff throughout the day.

The provider recorded and investigated accidents and incidents. We found two incidents which should have been notified to the Care Quality Commission (CQC). However the provider had notified CQC of other reportable incidents. We recommend that the provider considers the guidance on notifications to CQC.

Inspection carried out on 24 October 2013

During a routine inspection

On the day of our visit 46 people living with dementia were using the service. 14 care staff were on duty along with administration, kitchen and support workers.

People had their health and welfare needs met, and people were very happy with the care provided. We spoke with two relatives of a person who had recently used the service. They had asked to speak to us. They told us that the service was excellent. One said "I am a healthcare professional myself so I know what I am looking for. This is a wonderful place and I have been most impressed. They are respectful and have promoted my mother in laws dignity, right to the end. Very professional and very caring". Another relative said "We had a really good relationship that allowed me to help my mother. I felt informed and involved throughout".

We spoke with seven members of care staff who told us the home had its own philosophy. One said "It is all about choices, the timing of events, meals, bedtime, bathing and activities. They get to choose". Another said "We promote a person centre approach that puts them first�.

People were safe from abuse. All care staff had been trained in protecting vulnerable adults from abuse and knew what to do if they suspected abuse was occurring. One relative we spoke with who had recently lost their mother said "Oh yes, my mother was safe here".

We saw that the provider had appropriate recruitment and selection procedures in place and that they measured the quality of service they provided.

Inspection carried out on 22 February 2013

During a routine inspection

. We conducted a Short Observational Framework for Inspection exercise and observed positive interactions between care staff and people who use the service. Staff were polite, respectful and friendly towards the people in the home and they took time to talk to them in a caring and patient way.

People using the service were able to get up when they wanted and breakfast and drinks were available throughout the morning. They were able to have meals in their rooms or in the dinning room. They were also able to choose what time they went to bed.

We spoke to six staff members, all of whom showed a good level of knowledge concerning the people they care for. All the staff we spoke to were aware of the needs of the people and they said that there was always enough staff on duty to allow them to spend time with the people they care for. All staff members we spoke to said they had been trained in Dementia care.

We looked at six care plans. The plans addressed the needs of the people using the service and supported them, demonstrating input from family and relatives.

We looked at records and found that staff were recruited correctly and had recieved the appropriate training and support to enable them to deliver an appropriate level of care at the home.

Inspection carried out on 28 November 2011

During a routine inspection

Relatives comments in the homes survey showed that they thought people received the nursing care that they needed. One person told us, �care was wonderful.�

Relatives told us they had regular contact with staff in the home and were able to discuss any concerns or aspects about the support provided to the people they visited.

Relatives confirmed that they participated in annual surveys carried out by the home where they commented about the quality of the services provided.

Reports under our old system of regulation (including those from before CQC was created)