Wisden Court is a purpose-built residential care home providing personal care to 54 people at the time of the inspection. The service can support up to 54 people.
People’s experience of using this service and what we found
People were mainly happy with the care and support they received. Staff were kind, friendly and attentive to people’s needs. People gave mixed views about the number of staff to meet their needs and about if they could make choices relating to timing of care. Six out of the 12 people were spoke with told us they needed to wait for support at times. Staff felt that there were enough of them to meet people’s needs in a person-centred way and would be happy for a relative of theirs to live there. Staff were trained and felt supported.
People felt safe and staff were aware of how to promote people’s safety in most cases. However, we observed one person who was at risk due to staff not adhering to guidance in the person’s plan and some less positive moving and handling observations. Regular checks were in place from the Care Team Leaders to help ensure staff worked in accordance with training and health and safety guidance was adhered to. There were governance systems in place but these were not always used effectively as systems had not identified the issues we found as part of this inspection.
The environment was decorated festively for the season and people told us they liked it. There was plenty of communal space for people to enjoy. People who were participating enjoyed the activities that were provided. There was a ‘Tools down’ and ‘Forget me not’ scheme in place to help prevent social isolation.
People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests. However, the policies and systems in the service did not support this practice. This was because the management team told us that the provider had advised them that deprivation of liberty safeguards applied to everyone living in the home, not just those who lacked capacity. While we found that this had not impacted on people’s rights or freedom, but the process needed to be amended to adhere to the principles of the Mental Capacity Act. Staff knew people well and worked in a way that promoted people’s preferences and wishes.
People were involved in planning their care when they moved into the home. However people did not always feel that they were involved throughout their stay. People had end of life care plans and there was a ‘Yellow basket’ scheme which invited people and relatives to add items of comfort for people, which were used when people were nearing the end of their lives. Complaints were responded to appropriately. Feedback was sought through meetings and surveys.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Requires Improvement (published 4 January 2019). At this inspection the service has remained the same.
The provider was required to send us an action plan after the last inspection to show what they would do and by when to improve. The registered manager had completed the action plan but this had not been sent to us to review.
At this inspection enough improvement had not been made and the provider was still in breach of regulation.
Why we inspected
This was a planned inspection based on the previous rating.
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.