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Inspection Summary


Overall summary & rating

Good

Updated 31 January 2019

Wheaton Aston Court Care Home provided nursing and personal care for up to 30 people some of whom were living with dementia. At the time of this inspection 29 People were living there. 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.

At our last inspection we found that improvements were needed regarding staffing levels. During this inspection we found significant improvements had been made and have und the evidence

There was a registered manager in post. 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.

Staff treated people with the dignity and respect when supporting them.

Staff ensured people received care which was kind and compassionate. People had developed relationships with other people living there and staff. Staff spent time chatting with people and saw this as a part of their role.

People received personalised care and support specific for their needs and individual preferences. Staff saw people as individuals and supported them in a person-centred way. 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 were encouraged to socialise, and keep in touch with people who were important to them. All staff were involved in ensuring people were involved in activities that interested them if they wished to be and knew that activities had a positive impact on their wellbeing.

The management team provided strong leadership and staff were clear about the values of the service and had a positive person-centred attitude.

People, relatives and staff were positive about the service. Relatives spoke kindly of the registered manager and their staff.

People felt safe and staff demonstrated a good understanding of what constituted abuse and how to report if concerns were raised. Risks were managed in as least restrictive ways as possible to protect people’s freedom. People’s rights were protected because the service followed the appropriate legal processes. Medicines were safely managed on people’s behalf where needed.

There were safe staff recruitment and selection processes in place. People were involved in recruiting new staff into the service. Staffing levels were flexible to meet people’s individual needs. Staff received training and regular supervision and support to keep their skills up to date in order to support people appropriately.

There were opportunities for people and people that matter to them to raise issues, concerns and feedback compliments.

Quality monitoring was in place leading to continuous improvement. Regular resident meetings were held to ensure people’s opinions were listened to and actions taken.

The management team strived to provide the best possible service for people. Various methods were used to assess the quality and safety of the service people received and changes and improvements were made in response.

Inspection areas

Safe

Good

Updated 31 January 2019

The service was safe.

The risk to people's safety was reduced because staff understood the different types of abuse, and knew their responsibilities for reporting concerns.

Risks were identified and assessments completed to minimise risk.

People were supported by sufficient numbers of staff to meet their needs and to keep them safe.

Medicines were stored and administered safely.

Effective

Good

Updated 31 January 2019

The service was effective.

The environment had been designed to meet the needs of people.

People were supported to make decisions in line with relevant legislation, to ensure their legal and human rights were respected.

People could choose their meals and were supported to eat and drink. People were supported to maintain their health and well-being.

Access to healthcare professionals was arranged promptly when needed.

Caring

Good

Updated 31 January 2019

The service was caring.

People were supported by staff that were kind and caring.

People were supported to make choices and staff promoted people’s independence.

People were supported with their communication needs. People had their privacy and dignity protected.

Responsive

Good

Updated 31 January 2019

The service was responsive to people's needs.

People received personalised care and support specific to their needs and preferences.

People were encouraged to form and maintain relationships, partake in activities and try new things.

There were regular opportunities for people and people that matter to them to raise issues or concerns.

Well-led

Good

Updated 31 January 2019

Notifications were submitted as required and the registered manager understood their responsibilities.

People and their relatives were involved in the service.

Staff felt supported in their role and were involved in the service.

Quality audits were in place and were used to continually drive improvement.