You are here

Whitfield Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 December 2019

About the service

Whitfield is a residential care home providing personal care to 24 older people who were living with dementia at the time of the inspection. The service can support up to 30 people in one large adapted building.

People’s experience of using this service and what we found

People appeared to be happy living at the service. People appeared relaxed and comfortable with staff and each other.

The provider and registered manager had completed checks and audits on the quality of the service. These had been effective at identifying shortfalls. However, the actions taken, and the improvements made had not been clearly recorded. Records to show how people had been engaged and how staff were supported had not been consistently clear or accurate.

Potential risks to people’s health, welfare and safety had been assessed and there was clear guidance for staff to reduce the risk. Accidents and incidents had been recorded and analysed, but records were not clear what action had been taken and if it had been effective.

Staff had been recruited safely and there was enough staff to meet people’s needs. Staff received training appropriate to their role. However, they had not received regular supervision to discuss their practice and development.

People received their medicines as prescribed. Staff monitored people’s health and referred them to healthcare professionals when required. Staff followed guidance to keep people as healthy as possible.

People were supported to eat a balanced diet. People had access to activities they enjoyed and kept themselves as active as possible.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Each person had a care plan that contained details of their choices and preferences. People met with staff before moving into the service to check staff would be able to meet their needs. People were treated with dignity and respect. People’s end of life wishes had been recorded. Staff worked with the GP and district nurse to support people at the end of their lives.

Complaints had been recorded and investigated following the provider’s policy. The environment had been developed to support people living with dementia following good practice guidance. People were given information in a way they can understand.

The registered manager attended local forums to keep up to date with developments to understand how to continue improvements within the service.

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

Rating at last inspection

The last rating for this service was Good (published 23 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 31 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 31 December 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 31 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 31 December 2019

The service was not always well-led.

Details are in our well-Led findings below.