Wingham Court Care Home

Updated 10 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

Our inspection was completed by three inspectors and a nurse specialist.

Service and service type

Wingham Court Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and six relatives about their experience of the care provided. We spoke with 14 members of staff including the registered manager, deputy manager, nurses, senior care workers, care workers and the activities team. We spoke with one visiting healthcare professional. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at training and staff supervision. A variety of records relating to the management of the service, including policies and procedures, was reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 10 April 2020

About the service

Wingham Court Care Home is registered to provide accommodation and personal care for up to 73 people. There were 71 people living at the service at the time of our inspection. The service provides care and support for people 18-65 years living with complex needs and neurological conditions, such as multiple sclerosis or acquired brain injury. This was for rehabilitation or long-term care.

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

People were supported with activities that gave structure and a purpose to their life. There was a Creative Arts people took part in that had a positive impact on the health and wellbeing of people living at the service. One person told us, “It’s my world where I can express myself. Its universe where no one else can touch” and another said, “It’s a distraction from daily life.” There were systems in place to support people and their families to support them with coming to terms with an acquired brain injury and complex mobility needs. Activities were planned around people’s interests and hobbies and people’s disabilities did not limit staff’s ability to support people with this.

There were appropriate numbers of staff at the service to support people with their needs. Staff were aware of the risks associated with people’s care and ensured that people were provided the most appropriate care. People received their medicines when needed. 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.

People and relatives told us that staff were kind, caring and respectful towards them. We saw examples of this during the inspection. People were supported and encouraged to remain as independent as possible and were involved in decisions around their care. There were times where people felt that staff went above and beyond what was expected of them and appreciative of this.

Staff received appropriate training in relation to their role and were encouraged to progress. Staff were valued and had opportunities to further their development. There was a robust system in place to assess the quality of care provided. People and relatives knew how to complain and were confident that complaints would be listened to and addressed. People, relatives and staff thought the leadership of the service was effective.

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

At the last inspection the service was rated Requires Improvement (the report was published on 13 March 2019) and there were two 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

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.