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St Winifred's Dementia Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 14 January 2021

About the service

St Winifred's Dementia Residential Care Home is a residential care home providing personal and nursing care to 33 older people at the time of the inspection. The service can support up to 59 people in one large extended building.

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

People and their relatives told us they felt safe at the service. Allegations of abuse were reported to the local authority and investigated appropriately. Staff knew how to recognise signs of abuse and where to report them.

Improvements had been made to people’s care plans. People had risk assessments in place, and these gave staff the information they needed to safely look after people. Lessons had been learnt when things went wrong, and accidents and incidents were regularly analysed. People and their relatives felt there were enough staff to meet their needs. Staff were safely recruited, and pre- employment checks had been carried out.

People had their needs assessed before joining the service and care plans were put in place. Regular reviews of people’s needs were carried out and using recognised tools. Staff received training relevant to their job role. This was all up to date and staff felt confident within their roles. People were supported to have a healthy diet, given a choice of meals and where necessary adaptions were made based on individual needs.

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.

Improvements had been made to the quality assurance processes. The registered manager and provider had oversight of systems within the service and made improvements where necessary. Staff told us they felt confident to raise concerns and that they felt they would be listened to. Relatives spoke highly of the management team, especially through the current pandemic. Staff received support through meetings and supervisions and were able to give feedback. The registered manager had introduced a system called ‘interactive me’ to help people stay in touch with their loved ones. The registered manager and provider gave out thank you cards and vouchers to staff who went above and beyond during the pandemic.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 09 January 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 01 and 03 December 2019, breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, person centred care and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective and well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and oth

Inspection areas

Safe

Good

Updated 14 January 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 January 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 January 2021

Responsive

Requires improvement

Updated 14 January 2021

Well-led

Good

Updated 14 January 2021

The service was well-led.

Details are in our well-Led findings below.