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Inspection Summary


Overall summary & rating

Good

Updated 24 January 2018

At the last inspection of Wilton Lodge – Care Home in October 2016 the service did not meet all of the regulations we assessed under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At that inspection the service was rated ‘Requires Improvement’. This was because the provider was in breach of regulation 12: Safe care and treatment, on three occasions. This was with regard to safe management of medicines, health care and collaborative working with healthcare professionals. We also found that audits were not as effective as they could be and so we made a recommendation about identifying all shortfalls.

At that inspection we asked the provider to take action to make improvements to the management of medicines, meeting health care needs and working in collaboration with other health and social care professionals. They sent us an action plan saying when the improvements would be made.

This comprehensive inspection of Wilton Lodge – Care Home took place on 13 and 14 November 2017 and was unannounced. We found the overall rating for this service to be ‘Good’. The rating is based on an aggregation of the ratings awarded for all 5 key questions. Action had been taken and there were significant improvements in the meeting of regulations since we visited in 2016.

Wilton Lodge is registered to provide personal care and accommodation for up to 48 older people, including those who may be living with dementia related conditions. Communal accommodation is provided in a variety of lounge and dining areas and bedroom accommodation is provided in single rooms, some with en-suite facilities. The home is situated in a residential area on a main road and close to local amenities and bus routes into the centre of the City of Kingston-Upon-Hull. At the time of this inspection the service was being provided to 47 people.

The registered provider was required to have a registered manager in post. On the day of the inspection we found that the registered manager had been in post for the last one and a half years. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

At this inspection we found the provider now met the regulation on safe care and treatment with regard to safe management of medicines. Procedures had been tightened up and practice was now much safer. We found that the management of medication was safely carried out. Other risks were also assessed and managed for people individually and on a group basis so that people avoided injury wherever possible.

People were protected from the risk of harm because systems were in place to detect, monitor and report potential or actual safeguarding concerns. Staff were appropriately trained in safeguarding adults from abuse and understood their responsibilities in respect of managing potential and actual safeguarding concerns.

The premises were safely maintained and there was evidence in the form of maintenance certificates, contracts and records to show this. Accidents and incidents were appropriately managed, risk assessed and mitigated. Equipment was safely used in the service.

Recruitment policies, procedures and practices were carefully followed to ensure staff were ‘suitable’ to care for and support vulnerable people. Staffing numbers were sufficient to meet people’s needs.

People were protected from the risks of infection and disease because good infection control management systems and practices were in place.

At this inspection we found the provider now met the regulation on safe care and treatment with regard to supporting people’s health care and working collaboratively with other health and social care professionals. People’s medical condi

Inspection areas

Safe

Good

Updated 24 January 2018

The service was safe.

People’s medication was safely managed. They were protected from the risk of harm because the provider had systems in place to detect, monitor and report potential or actual safeguarding concerns. Risks were also managed and reduced so that people avoided injury or harm.

The premises were safely maintained, staffing numbers were sufficient to meet people’s need and recruitment practices were safely followed.

Effective

Good

Updated 24 January 2018

The service was effective.

People’s health care was effectively monitored and supported. Staff worked collaboratively with other health and social care organisations. People were encouraged to make choices.

Qualified and competent staff were employed. They were regularly supervised and received appraisal of their performance.

Diversity among the people was respected and individual needs were met.

People received adequate nutrition and hydration to maintain their levels of health and wellbeing.

The premises were suitable for providing care to older people and the environment was suitable for those living with dementia.

People’s mental capacity was appropriately assessed and their rights were protected.

Caring

Good

Updated 24 January 2018

The service was caring.

People received compassionate care from kind staff. People’s rights were respected and they were involved in all aspects of their care.

The attitude and approach of the management team and staff was friendly, supportive and encouraging.

People’s wellbeing, privacy, dignity and independence were monitored and respected.

Responsive

Good

Updated 24 January 2018

The service was responsive.

People were supported according to their person-centred care plans, which were regularly reviewed. They had the opportunity to engage in some pastimes and activities to stimulate their minds and provide entertainment.

Communication needs were assessed and met where possible.

People had their complaints investigated without bias.

Staff sensitively managed end of life preferences, requests and care needs.

Well-led

Good

Updated 24 January 2018

The service was well led.

There was an effective quality assurance system in place, which led to improvements in service delivery.

People had the benefit of a well-led service, where the culture and the management style of the registered manager were both positive. Governance was understood and was good.

Continuous learning took place in the service and good relationships with other organisations and bodies were fostered to ensure people received the best possible care.