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Inspection Summary


Overall summary & rating

Good

Updated 30 August 2019

About the service:

Windward House is registered to provide accommodation and personal care for up to 42 older people. At the time of our inspection, 41 people were living at the home.

People’s experience of using this service:

People told us they felt safe, supported and were happy living at Windward House. Staff were seen to be kind, caring and treated people with dignity and respect.

Quality assurance and governance systems were in place to assess, monitor, and improve the quality and safety of the services provided. However, we found the systems in place had not been undertaken robustly, therefore had not identified that some records were not complete or up to date. We have recommended the provider undertakes a review of the effectiveness of the systems and processes in place.

People were supported to have maximum choice and control of their lives; however, we have recommended the registered manager reviews staffs understanding of the principles of the Mental Capacity Act 2005 (MCA), and the Deprivation of Liberty Safeguarding (DoLS), and the records that need to be completed.

People were protected from the risk of avoidable harm. However, we found that some care records did not contain enough information of any action taken to mitigate known risks. Whilst there was no negative impact on people’s safety, we have recommended the provider reviews care records to ensure these are accurate, complete and up to date.

Other risks were well managed. Risks had been identified, in relation to people’s care needs such as mobility and skin care, and action had been taken to minimise these. Accidents and incidents were monitored to look for trends and identify whether changes were needed to reduce risks.

Regular checks were undertaken in relation to the environment and the maintenance and safety of equipment, and fire safety systems were serviced and audited regularly.

People’s medicines were managed, stored and administered safely and appropriately by staff who had been trained and assessed as competent to do so.

People had confidence in the registered manager and told us the home was well managed. There was an open culture where people, relatives and staff were encouraged to provide feedback. Staff felt they received a good level of support and could contribute to the running of the home. We have made a recommendation in relation to how the provider records staff supervision.

People were protected from potential abuse by staff who had received training and were confident in raising concerns. There was a thorough recruitment process in place that checked potential staff were safe to work with people who may be vulnerable.

There were sufficient numbers of staff employed to ensure people’s needs were met. Staff had time to sit and engage people in conversation and to support people’s involvement in social activities.

Windward House was clean, and people were protected from the risk and/or spread of infection as staff had access to personal protective equipment (PPE).

Rating at last inspection:

The last rating for this service was ‘Good’ (published on the 16 March 2017).

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 30 August 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 30 August 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 30 August 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 30 August 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 30 August 2019

The service was not always well-led.

Details are in our Well-Led findings below.