19 March 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection was carried out over one day by one inspector.
Service and service type:
St Winefrides 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.
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 inspection:
We reviewed information we had received about the service since the last inspection. This included statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law.
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.
We used all this information to plan our inspection.
During the inspection:
We spoke with four people who use the service, five relatives and eight members of staff, including the provider, registered manager, quality coordinator, shift lead, care workers, activities coordinator and the housekeeping 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 and medication records. We looked at two staff files in relation to recruitment and staff training. 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.
19 March 2020
About the service:
St Winefrides Residential Home is a large, detached, older style property situated close to the town centre of Littlehampton. It is registered to provide accommodation and care for up to 24 older people living with dementia. At the time of our inspection there were 22 people living at the home. Communal areas included a large sitting room, a lounge used by people wishing for a quieter environment, known as the 'quiet lounge'. The 'quiet lounge' overlooked the garden to the rear of the property. There were sitting areas in the corridors to allow people to sit and rest when needed. The home had a dining room.
People’s experience of using this service:
People received exceptionally high-quality person-centred care that exceeded their expectations. The management and staff team went above and beyond to ensure that people’s care and preferences met their expectations, with people’s wellbeing and independence being at the heart of the home. Activities for people were innovative and highly regarded by people and relatives. The home went the extra mile to ensure that people were involved in their community and empowered in the planning of activities to reduce social isolation and improve well-being. A relative told us, “The staff are attentive to everyone needs and are proactive in engaging with people.”
People told us they felt safe and knew who to contact if they had any concerns. Systems supported people to stay safe and reduce the risks to them. Staff knew how to recognise signs of abuse and what action to take to keep people safe. There was sufficient staff to support people safely and the registered manager had safe recruitment procedures and processes in place.
Staff were trained in administering medicines and people were protected by the prevention and control of infection. Staff wore gloves and aprons when supporting people. Staff completed training that reflected people’s varied needs and staff were experienced in their roles to provide effective care to people. Staff received regular supervisions and an annual appraisal.
People's risks were identified and assessed appropriately, they were supported to maintain their health and had support to access health care services when they needed to. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received kind and compassionate care. People and relatives told us staff treated them with kindness and we observed friendly interactions throughout the inspection. People were comfortable in the company of staff. Staff felt supported and confident that any suggestions or concerns would be listened to and acted upon. People and relatives were asked for their feedback about the home through meetings, care reviews and surveys. A range of quality assurance systems measured and monitored the quality of care and the home overall.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: Good (report published on 9 February 2017).
Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission (CQC) scheduling guidelines for adult social care.
Follow up: We will continue to monitor the intelligence we receive about this service and plan to inspect in line with our re-inspection schedule for those services rated Good.