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Wisteria House Dementia Care Ltd Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 23 January 2019

The inspection took place on 19 November 2018 and was unannounced. Wisteria House Dementia Care Limited is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Wisteria House Dementia Care Limited accommodates up to 22 people in an older style building. On the day of the inspection 22 people lived at the home. At the last inspectionin 2016 we rated Wisteria House Dementia Care Limited as Outstanding in the areas of caring and well led. At this inspection we found the areas of safe, effective and responsive were also outstanding. The provider, Wisteria House Dementia Care Limited also runs Wisteria House (Plymstock) which was rated as Outstanding at their last inspection in 2018. The provider continues to use their passion and experience to provide outstanding care and ensure people are living their best lives.

Why the service is rated Outstanding

The home's website stated, "My aim for the people living at Wisteria House is to firstly reduce stress and anxiety, by creating a world that is calming, friendly, affectionate and familiar. Then promote choice and control over one’s life that adds meaning and purpose. Introducing activities, stimulation and independence to a level where individual’s can experience living positively with dementia.” The national care homes review website had many positive reviews from relatives of people using the service. Most rated the service as excellent. We saw that people received outstanding care and were supported to have the best quality of life possible.

Wisteria House Dementia Care Limited had achieved a Level 1 (Level 1 being the highest) Butterfly award in January 2018. The Butterfly award is awarded by "Dementia Care Matters" a leading UK organisation inspiring culture change in dementia care across the UK. This was reported as being a tremendous achievement ‘The team demonstrates an approach that is spontaneous, skillful and committed to creating wellbeing with lots of positive social interactions. The team share caring and warm relationships with the people who live at Wisteria House Dementia Care Limited and there is a real sense that the priority is ‘being’ with people.’ We found this to be the case during our inspection and noted that this was the fifth year in a row, showing a long standing commitment and embedded ethos to ensure a high level quality of life. This home and the provider’s other home Wisteria House (Plymstock) are both Level 1 status, making them two out of the eight awarded this level nationally.

There was a full time registered manager supported by two deputies. These deputies worked 12 hour shifts over seven days a week for continuity with a handover day in the week. They also had two days allocated to complete paperwork. They worked closely with people, relatives and the staff team, being visible and working ‘on the floor’. They knew people very well. The registered manager said, “We have time to oversee how people’s needs are being met and are able to take a step back. The people living here give me back more than I give to them. We eat together to create a social event and we all enjoy the ‘family’ atmosphere.” 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.

There was a very detailed daily dependency tool which enabled the provider to plan high staffing levels which supported outings, escorts and quality staff time for people, gave staff time to complete paperwork, organise events and further champion role projects which directly benefitted people and families.

People were living a ful

Inspection areas

Safe

Outstanding

Updated 23 January 2019

The service has improved to Outstanding.

Effective

Outstanding

Updated 23 January 2019

The service has improved to Outstanding.

Caring

Outstanding

Updated 23 January 2019

The service remains Outstanding.

Responsive

Outstanding

Updated 23 January 2019

The service has improved to Outstanding.

Well-led

Outstanding

Updated 23 January 2019

The service remains Outstanding.