Background to this inspection
Updated
1 December 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector carried out this inspection.
Service and service type
Windsor Care Home 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with three people who used the service and six relatives about their experience of the care provided. We received feedback from six members of staff including the provider, registered manager, senior care workers, care workers and support staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records. We looked at a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
1 December 2021
About the service
Windsor Care Home is a residential care home providing personal and nursing care to 27 people aged 65 and over at the time of the inspection. The service can support up to 60 people.
People’s experience of using this service and what we found
Although staffing levels were in line with expectations, staff did not always respond quickly enough when people called for help. Relatives and staff gave mixed feedback about staffing levels and high use of agency staff.
Some risk assessments required further development as they did not always clearly identify the measures required to manage potential risks. Others were generic and lacked personalised information. The provider was reviewing people’s care records.
People gave positive feedback about their care. Most relatives agreed people received good care. Although improvements had been made to ensure staff responded appropriately to people's needs, there were still examples of care being task orientated. Activities were on-going on the ground floor and people were engaged.
The provider continued to have effective IPC practices to help prevent the risk of infections.
Staff supported people to have enough to eat and drink. People were happy with the food choices available to them.
Medicines were managed safely. Safeguarding concerns and incidents were investigated, and lessons learnt shared with staff. Staff knew how to raise concerns and were confident to do so.
The provider was updating training to ensure staff had the correct skills and knowledge. Most staff said they were well supported.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider and registered manager continued to work with partners to progress the improvement plan developed following previous inspections. Relatives gave generally positive feedback about the approachability of management. Regular audits were being completed and action taken to address issues.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 14 December 2020).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.