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Archived: Withy Grove House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 April 2019

About the service:

Withy Grove House is registered with CQC to accommodate up to 54 people on two units, each of which have separate adapted facilities. One of the units specialises in providing nursing care to people living with dementia. At the time of the inspection there were 31 people living in the home.

At the last comprehensive inspection 24 and 27 July 2018 inspection we found that Withy Grove House was in breach of six regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These related to safe care and treatment, safeguarding service users from abuse and improper treatment, staffing, the need for consent, person centred care and good governance. The service was rated inadequate and placed in special mwithin this time frame. During this inspection the service demonstrated to us that improvements had been made and it was no longer rated as Inadequate overall or in any of the key questions. Therefore this service is now out of special measures.

After the last inspection we asked the provider to complete an action plan to show what they would do and by when to improve the key questions to at least good. We found improvements had been made in all domains and the six breaches of regulation from the previous inspection had been met. Work needs to continue to show all the improvements can be sustained in the long term.

People’s experience of using this service

•Relatives told us the home had “improved immensely” since the last inspection. People told us they were aware of and appreciated the improvements that had been made to their home to improve their environment and care.

•People commented positively on the improvements in the standard of care and the quality of staff. Everyone felt they or their relative were safe and that the home was meeting their needs.

•The environment had been improved to support people living with dementia. There was signage to help people to find their way about their home and promote their independence.

•Staff were more aware of people's life history and preferences and they used this information to develop positive relationships and deliver person centred care.

•People received their medicines when prescribed and these were stored safely. However, medicine allergies were not consistently recorded. This could put people at risk of receiving inappropriate medicines. We have made a recommendation about this.

•Staff had received training on safeguarding people from abuse and knew how to raise concerns to keep people safe. Risks to people were assessed and action was taken to address them. There were enough suitable staff working to support people safely.

•Care plans had been improved to provide more detailed information about people and their care needs and behaviour management. Risk assessments were being done and recorded in care plans along with the action to be taken to try to mitigate identified risks.

•Assessments obtained from other health and social care professionals were being used to plan care for people.

•Accidents and incidents were monitored to see if lessons could be learned and changes made to help keep people safe.

•The cleanliness of the home had improved. Effective infection control procedures were in use.

•Staff were receiving training appropriate to their roles and supervision was being given to support staff development and performance.

•People enjoyed the meals and their dietary needs and nutritional risks were being assessed and monitored. Pureed diets were provided but not well presented in an appetising way. We made a recommendation about this

•Weights were monitored but there were some people whose weight monitoring had been inconsistent. We made a recommendation about this.

•People told us they were given choice over their day to day lives and supported to maintain their independence.

•Staff were knowledgeable about people and their needs and care plans had been reviewed and updated

•There was a limited range of activities on

Inspection report


Inspection areas

Safe

Requires improvement

Updated 27 April 2019

The service was not always safe.

Details are in our Safe findings below.

Inspection report


Effective

Requires improvement

Updated 27 April 2019

The service was not always effective.

Details are in our Effective findings below.

Inspection report


Caring

Good

Updated 27 April 2019

The service was caring

Details are in our Caring findings below.

Inspection report


Responsive

Good

Updated 27 April 2019

The service was responsive.

Details are in our Responsive findings below.

Inspection report


Well-led

Requires improvement

Updated 27 April 2019

The service was not always well-led.

Details are in our Well-Led findings below.

Inspection report