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Inspection Summary


Overall summary & rating

Good

Updated 27 November 2018

This inspection took place on 6 November 2018 and was unannounced.

Wayfarers 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.

Wayfarers accommodates up to 33 older people requiring long or short term care, in one purpose built building. At the time of the inspection, the provider was only using one wing of the building. There were 18 people living at the service who required personal care.

There was a registered manager in post. 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.

We inspected Wayfarers in September 2017 and the service was rated ‘Requires Improvement’ overall with three breaches of regulation. Following the last inspection, we asked the provider to complete an action plan to show how they would meet the regulations. At this inspection, we found that improvements had been made and the regulations had been met. The service was now rated Good overall.

At the last inspection, we found the registered person had failed to do all that is reasonably possible to mitigate risks to people’s health and safety. This was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Potential risks to people’s health, safety and welfare had been assessed. There was now detailed guidance for staff to reduce the risks and keep people safe. Checks had been completed on the environment and equipment to make sure that people were safe. Incidents and accidents were recorded and analysed for patterns and trends. Action was taken to reduce the risk of them happening again.

Previously, we found the registered person had failed to assess, monitor and improve the quality of the service and maintain accurate and complete records. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection, improvements had been made the breach of regulation had been met.

At this inspection, audits had been completed consistently by senior staff and the provider to monitor the quality of the service. When shortfalls had been identified, an action plan was put in place and signed off when completed. The registered manager had oversight of the audits and the action taken to rectify the shortfalls.

At the last inspection, we found the registered person had failed to give person centred guidance to staff to meet people’s needs. This was a breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection, improvements had been made the breach of regulation had been met.

Care plans now had detailed guidance for staff about people’s choices and preferences. Care plans were reviewed regularly with people, who agreed their care and support. Care plans now reflected the care being given. Staff worked with healthcare professionals to support people at the end of their lives.

The management team met with people before they moved into the service to make sure that staff could meet their needs. Staff monitored people’s health and when there were changes, people were referred to healthcare professionals. Staff followed their guidance to keep people as healthy as possible. People had access to professionals such as the dentist and optician. People were encouraged to be as active as possible and lead a healthy lifestyle. People had a choice of meals and were supported to eat a balanced diet.

People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive wa

Inspection areas

Safe

Good

Updated 27 November 2018

The service was safe.

People were protected against abuse, staff knew how to recognise abuse and report concerns.

Potential risks to people�s health, welfare and safety had been assessed and there was detailed guidance for staff to mitigate the risks.

There were sufficient staff to meet people�s needs, who had been recruited safely.

Medicines were managed safely.

Accidents and incidents were recorded and analysed to identify patterns and trends. Action was taken to reduce the risk of them happening again.

The service was clean, staff wore protective clothing when required to reduce the risk of infection.

Effective

Good

Updated 27 November 2018

The service was effective.

People�s needs were assessed before they moved into the service to ensure staff could meet their needs.

Staff received training appropriate to their role. Staff received yearly appraisals and regular supervision to discuss their practice and development.

People were supported to eat a balanced diet.

People�s health was monitored, they were referred to health professionals when their needs changed.

People were supported to live as healthy a lifestyle as possible.

The service was purpose built and met people�s needs.

Staff were working within the principles of the Mental Capacity Act 2005.

Caring

Good

Updated 27 November 2018

The service was caring.

People were treated with kindness and respect.

People were involved in planning their care. People were encouraged to be as independent as possible.

People�s privacy and dignity was respected.

Responsive

Good

Updated 27 November 2018

The service was responsive.

People�s care plans contained details about their choices and preferences.

People had access to activities they enjoyed.

People were supported at the end of their lives.

The provider had a complaints policy. People told us they were comfortable to bring any concerns to the staff.

Well-led

Good

Updated 27 November 2018

The service was well led.

There was an open and transparent culture within the service that focused on people and their experience.

Checks and audits had been completed and these had been effective in driving improvement within the service.

People and staff were given the opportunity to express their views about the service and any suggestions they may have to improve the service.

The management team attended local forums and training to keep up to date with changes.

The service worked with other agencies to improve people�s care.