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Inspection Summary


Overall summary & rating

Good

Updated 20 February 2021

Wheatlands is a care home providing personal care for up to 53 older people, some of whom are living with dementia. At the time of the inspection 44 people lived at the service.

We found the following examples of good practice.

• A visiting policy was in place that was complied with. Visitors were provided with a lanyard with their own personal hand sanitiser, hand washing pictorial guidance and a new pen that they could use during their visit. These were stored for 72 hours after use and sanitised.

• Upon entry to the home, a television screen continuously showed a video of guidance on infection prevention and control (IPC) policies and how to use personal protective equipment (PPE).

• The home was clean, hygienic and uncluttered. Additional cleaning time had been allocated to the housekeeping staff since the pandemic and cleaning schedules were checked daily as part of the general manager walk round to ensure compliance.

• People were encouraged to engage in an activity programme to promote their social and emotional wellbeing that had been adapted to ensure compliance with current guidance. This included virtual coffee mornings with their relatives and virtual story telling with the local school.

• People were generally supported by separate staff cohorts in each community they lived in to reduce the risk of transmission of infection. Where staff were required to work across separate communities, they underwent additional lateral flow tests and were not permitted to work with different communities on different days.

• People were required to self-isolate in line with current guidance when they tested positive for COVID-19. Where people did not comply with self-isolation due to their lack of understanding, a mental capacity assessment was undertaken and best interests decisions were made to reduce risk of transmission in the least restrictive way possible. One person lacked insight into the need to self-isolate so a sensor mat was placed across their door to alert staff should they leave their room.

• The registered manager was proactive in identifying learning and taking action to improve the service. When there was a COVID-19 outbreak at the home, the registered manager identified what had been managed well and what could be improved. This information was collated and shared with staff and actions were put in place to mitigate risk and improve the service going forward.

• Staff were well supported by the provider. Staff were able to access support with their health and wellbeing via the intranet and had access to a 24 hour careline should they need it. The provider had also arranged a question and answer session with an expert in microbiology to ease staff anxieties around COVID-19 vaccinations.

Inspection areas

Safe

Good

Updated 20 February 2021

Further information is in the detailed findings below.

Effective

Good

Updated 20 February 2021

Caring

Good

Updated 20 February 2021

Responsive

Good

Updated 20 February 2021

Well-led

Good

Updated 20 February 2021