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Enhanced Elderly Care Service - Wardley Gate Care Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 24 August 2018

The inspection took place on 11, 15 and 20 June 2018. The first day of inspection was unannounced. This meant the provider and staff did not know we would be coming.

Enhanced Elderly Care Service - Wardley Gate Care Centre 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. Enhanced Elderly Care Service - Wardley Gate Care Centre provides care and support for up to 88 people who require support with personal care, some of whom are living with dementia. At the time of the inspection there were 75 people living there.

The service had a registered manager in place. 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.

At the last comprehensive inspection in January 2017 we rated the service as ‘Requires Improvement’ overall. At the inspection we identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 14 (Meeting nutritional and hydration needs); Regulation 16 (Receiving and acting on complaints); Regulation 17 (Good governance) and Regulation 18 (Staffing). This related to robust systems not being in place to monitor nutrition and weight loss, complaints not always being handled in line with the provider’s policy, systems and processes were not established and operated to monitor service provision and insufficient staffing levels.

Following the inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions Safe and Well-Led to at least good. We then carried out a focussed inspection in August 2017 and found improvements had been made in the areas identified at the previous inspection but that the improvements needed to be sustained for a period of time and therefore the service remained ‘Requires Improvement’. At this inspection we found standards had been sustained and further developments had been made and the service had improved to ‘Good’.

There were enough staff to meet people’s needs. The registered manager assessed staffing requirements in line with people’s dependency needs. Staff continued to be recruited in a safe way with all necessary checks carried out prior to their employment.

People and their relatives told us people were safe living at the service. Staff had completed training in safeguarding people and the service raised any safeguarding alerts with the local authority in a timely way.

Risks to people’s safety and wellbeing were assessed and managed. Environmental risk assessments were also in place.

People’s medicines were administered in accordance with best practice and managed in a safe way. People continued to receive their medicines in line with prescribed instructions.

People were supported to meet their nutritional needs. People at risk of malnutrition had their weight monitored weekly as well as their food and fluid intake recorded. People accessed a range of health professionals including speech and language therapists, dieticians and doctors. Information of healthcare intervention was included in care records.

New staff completed an induction programme prior to working with people. Staff received regular training, supervisions and annual appraisals to support them in their roles.

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 and relatives felt the service was caring. Staff treated people with dignity and respect when supporting them with daily

Inspection areas

Safe

Good

Updated 24 August 2018

The service was safe.

There were enough staff to meet people's needs. Staff continued to be recruited in a safe way.

Risks to people's health, safety and welfare were assessed and managed.

People received their medicines in in accordance with best practice.

Effective

Good

Updated 24 August 2018

The service was effective.

People were supported with the nutritional needs.

New staff completed an induction programme prior to supporting people. All staff received regular training, supervisions and annual appraisals.

People were supported to access a range of health care professionals.

Caring

Good

Updated 24 August 2018

The service was caring.

People told us staff were pleasant and friendly.

Staff treated people with dignity and respect. People were supported in a way that promoted their independence.

People had access to advocacy services information.

Responsive

Good

Updated 24 August 2018

The service was responsive.

People knew how to raise concerns. Complaints were fully investigated and acted upon in accordance with the provider's complaints procedure.

People's needs were assessed prior to entering the home. Care plans were created from people's assessed needs and were personalised to the individual.

There was a range of activities available both in the home and in the community.

Well-led

Good

Updated 24 August 2018

The service was well-led.

The provider had robust governance systems in place to monitor the quality and safety of the service.

People and staff spoke highly of the registered manager and feedback received regarding the service was mostly positive.

Staff attended regular meetings to discuss the running of the service.