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Withins (Breightmet) Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 10 May 2018

The inspection took place on 11 April 2018 and was unannounced. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Withins (Breightmet) Limited 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.

Withins (Breightmet) Limited accommodates up to 65 people in one purpose built building over three floors The home is located in a residential area in Breightmet, about two miles from the centre of Bolton.

There was 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 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 at the home. Staff had received training in safeguarding and were confident the registered manager would take concerns seriously.

There were individual and general risk assessments in place and health and safety records were complete and up to date. Staffing levels were good and recruitment was robust.

There was a suitable medicines policy and procedure in place and systems were safe. Infection prevention and control measures were in place, the building was clean and clutter free and there were no malodours in any area.

There was a thorough induction programme and further training was on-going. Care plans were person-centred and included relevant personal, health and support information. The files included care plans around death and dying. These outlined people’s wishes for when they were nearing the end of their lives.

People were involved in their care planning and regular reviews of care. Care records were held securely to help ensure the confidentiality of people’s personal information.

People’s nutritional and hydration needs were addressed appropriately. Attention had been paid to making the environment suitable for people living with dementia.

The service was working within the legal requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

Staff interacted respectfully with people who used the service, showing compassion and empathy. People’s dignity and privacy was respected. There was a service user guide which included details of the service and facilities.

People we spoke with felt the service was very responsive. There were a range of activities on offer and people were also taken out into the community to other activities.

The complaints procedure was appropriate and up to date and complaints were responded to appropriately and in a timely manner. We saw a number of compliments received by the service.

The registered manager and deputy manager had an ‘open door’ policy. Staff turnover was low and staff said that were very happy with their jobs.

Formal supervision sessions were not up to date. Following the inspection the registered manager implemented a programme of supervision sessions and commenced these immediately.

All the policies and procedures were appropriate, reviewed regularly and up to date. There were a number of audits in place at the home, followed by appropriate actions.

Care plans evidenced good partnership working with other professionals and agencies. The management attended the regular local care home meetings to share good practice and access current guidance. The service had enrolled with Bolton Council's ‘Care H

Inspection areas

Safe

Good

Updated 10 May 2018

The service remains good.

Effective

Good

Updated 10 May 2018

The service has improved to good.

Caring

Good

Updated 10 May 2018

The service remains good.

Responsive

Good

Updated 10 May 2018

The service remains good.

Well-led

Good

Updated 10 May 2018

The service remains good.