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Inspection Summary


Overall summary & rating

Good

Updated 20 October 2017

We carried out an unannounced comprehensive inspection at Whitegates Retirement Home on the 19 and 20 May 2016 and we rated the service as requires improvement. We carried out this inspection on 15 August 2017 to ensure the provider had taken appropriate action and we found that improvements had been made.

Whitegates Retirement Home provides accommodation and support for up to 24 older people. Situated on the outskirts of the village of Westfield in East Sussex the home offers single rooms, two communal areas and a separate dining room. A lift enables people to access all parts of the building and there is a large garden with seating areas that is accessible to people using wheelchairs and walking aids. Some people were independent and needed only need minimal assistance; others needed support with personal care and moving around the home safely. There were 17 people living at the home during the inspection.

The registered manager was present during the inspection. 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.

This inspection took place on the 15 August 2017 and was unannounced.

The provider had a quality assurance and monitoring system in place and a number of audits were used to assess the services provided. Such as audits of medicine records and care plans. However, these audits had not identified the areas where improvement was needed that we found during the inspection. There have been a lot of changes since the last inspection and although these have improved the care and support provided for people living at the home, additional work is needed to embed these into practice and ensure people’s individual needs can be met.

A robust recruitment system was in place to ensure only suitable staff were employed. Staff attended relevant training, they had an understanding of people’s needs and there were enough staff working at the home to provide the support people wanted. Staff had attended safeguarding training; they were clear about how to protect people from abuse and the action they would take if they had any concerns.

The CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The management and staff had attended training in the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards and were aware of current guidance to ensure people were protected.

People said the food was good, choices were offered and staff assisted people if required. A range of group and individual activities were provided, based on people’s preferences, to participate in if they wanted to.

Staff supported people to see health and social care professionals when required. Records were kept of any visits, care plans updated with guidance for staff to follow to ensure any changes in support was provided.

Feedback was sought from people, relatives and staff through ongoing discussions, regular meetings and satisfaction questionnaires.

Inspection areas

Safe

Good

Updated 20 October 2017

The service was consistently safe.

Risk to people had been assessed and there was guidance for staff to follow to ensure people’s safety.

There were systems in place to manage medicines and records were up to date.

Staff recruitment practices were robust, only suitable staff were employed and there were enough staff working at the home to meet people’s needs.

Staff had attended safeguarding training and had an understanding of abuse and how to protect people.

Effective

Good

Updated 20 October 2017

The service was effective.

Training was provided to ensure staff had the skills to understand people’s needs and provide the support they wanted.

Staff had attended training for Mental Capacity Act 2005 and Deprivation of Liberty and, they were aware of current guidelines and their responsibilities.

People were supported to maintain healthy diets and staff assisted people as required.

Staff arranged for people to see health and social care professionals when they needed to.

Caring

Good

Updated 20 October 2017

The service was caring.

Staff supported people in a kind and caring way and treated people with respect.

People were involved in decision about their care and their consent was sought before staff provided assistance.

Relatives and friends and visitors were made to feel very welcome and people were encouraged to maintain these relationships.

Responsive

Good

Updated 20 October 2017

The service was responsive.

People’s needs were assessed before they moved into the home to ensure their needs could be met.

Support provided was based on people’s wishes and preferences.

A range of activities were provided and people decided how and where they spent their time.

A complaints procedure was in place and people and visitors knew how to raise concerns with management and staff.

Well-led

Requires improvement

Updated 20 October 2017

The service not consistently well-led.

Quality assurance and monitoring systems were in place, but these were not consistently effective in identifying areas that needed to be addressed.

Staff were aware of their responsibilities and they were kept up to date and involved in developing the service through regular staff meetings.

Feedback was sought from people and relatives through monthly meetings.