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Inspection Summary


Overall summary & rating

Good

Updated 23 October 2018

This was an unannounced inspection that took place on 30 August 2018. We previously inspected this service in December 2017 and rated the service 'Requires improvement'.

Wellburn House provides care for up to 35 people, some of whom may be living with dementia.

Wellburn House 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 home had a registered manager. 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.

The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The service provided structured activities for people as well as hiring entertainment. The service was developing strong community links that would broaden the range of meaningful activities for the people who lived at Wellburn House.

The staff team understood how to protect adults from situations in which they would be vulnerable to harm and abuse. Staff had received suitable training and talked to us about how they would identify any issues and how they would report them appropriately. Risk assessments and risk management plans supported people well. Arrangements were in place to ensure that new members of staff had been suitably checked before commencing employment. All new staff completed an induction.

Any accidents or incidents had been reported to the Care Quality Commission as necessary and suitable action taken to lessen the risk of further issues. Risk assessments and care plans provided guidance for staff in the home. Where possible, people in the service were involved in writing care plans.The management team had ensured the plans reflected the person-centred care that was being delivered.

The registered manager ensured that there were sufficient staff to meet people's needs in a timely manner, this included care training for both kitchen and domestic staff. Staff were suitably inducted, trained and developed to give the best care possible. We observed kind, patient and suitable support being provided. Staff knew people well. They made sure that confidentiality, privacy and dignity were maintained. Staff were suitably skilled in providing end of life care and were able to discuss good practice, issues around equality and diversity and people's rights.

Medicines were appropriately managed in the service with people having reviews of their medicines on a regular basis. People in the home saw their GP and health specialists whenever necessary and were able to attend hospital appointments.

We saw that an assessment of needs was in place. People were happy with the food provided and we saw healthy meals that staff supported and encouraged people to eat. The home itself was clean and comfortable on the day we visited. Suitable equipment was in place to support people with their mobility.

Complaints and concerns were suitably investigated and dealt with and good records management was in place in the service. There was also a quality monitoring system in place which was used to support future planning.

Inspection areas

Safe

Good

Updated 23 October 2018

The service was safe.

Medicines management had improved since our last inspection.

People felt safe and staff knew how to protect them from abuse.

The home was clean and hygienic.

Effective

Good

Updated 23 October 2018

The service was effective.

People were supported by competent and confident staff.

Staff received appropriate supervision and appraisal.

People were not deprived of their liberty unnecessarily and their rights were protected.

Caring

Good

Updated 23 October 2018

The service was caring.

People were treated with dignity and respect.

Staff were kind and people told us they were treated well.

People were supported to be as independent as possible.

Responsive

Good

Updated 23 October 2018

The service was responsive.

People were involved in the planning of their care.

People were able to access the community if able to do so and a variety of activities were provided in the home.

The service had a complaints procedure.

Well-led

Good

Updated 23 October 2018

The service was well led.

The registered manager modelled good practice to the staff.

The service was developing good links with the local community.

The manager had a clear vision about the future of the service.

There was a quality assurance system in place that was monitored by the provider.