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Inspection Summary


Overall summary & rating

Good

Updated 17 April 2019

About the service: Wordsworth House is a residential care home and is registered to provide accommodation and personal care for up to 40 older people and people living with dementia. At the time of our inspection, 27 people were using the service.

People’s experience of using this service: We found improvements had been made since our last inspection.

People told us they felt safe at the service. There were enough staff available to provide care and support; staffing arrangements were kept under review. The provider followed safe processes were in place to make sure appropriate checks were carried out before staff started working at the service.

Staff followed some good processes to manage people's medicines safely. Some improvements were made during our visit and the registered manager agreed to ensure checking systems were developed.

The provider had arrangements in place to promote the safety of the premises, this included maintenance, servicing and checking systems. People were protected by the prevention and control of infection.

Staff were aware of the signs and indicators of abuse and they knew what to do if they had any concerns. Staff had received training on safeguarding and protection matters.

People's needs were being assessed, planned for and reviewed. Each person had a care plan which was designed to ensure their needs and choices were met. People were supported with their healthcare needs. Changes in people's health and well-being were monitored and responded to. Where necessary, people received appropriate medical attention.

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 at the service supported this practice.

People made positive comments about the caring attitude of staff. They said their privacy and dignity was respected. We observed staff interacting with people in a kind, pleasant and friendly manner. Staff were respectful of people's choices and opinions.

There were opportunities for people to engage in a wide range of group and individual activities. Visiting arrangements were flexible, relatives and friends were made welcome at the service.

There was a suitable standard of décor and furnishings to provide for people's comfort and well-being.

People said they were satisfied with the variety and quality of the meals provided at the service. Their individual needs and preferences were catered for. People were supported to enjoy the mealtime experience.

People had an awareness of the service's complaints procedure and processes. They indicated they would be confident in raising concerns. Some complaints records were unclear and lacked detail. We have made a recommendation about complaints management.

Arrangements were in place to encourage people to express their views and be consulted about Wordsworth House. They had opportunities to give feedback on their experience of the service and suggest improvements.

Improvements had been made with checks on quality. A variety of systems and processes were in place, to regularly monitor and improve the service. There were management and leadership arrangements in place to support the effective day to day running of the service.

Rating at last inspection: Requires Improvement. (6 March 2018) At this inspection the overall rating has improved to Good.

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up: We will plan a follow up inspection as per our inspection programme. We will continue to monitor the service and if we receive any concerning information we may bring the inspection forward.

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

Inspection report


Inspection areas

Safe

Good

Updated 17 April 2019

The service was safe

Details are in our Safe findings below.

Inspection report


Effective

Good

Updated 17 April 2019

The service was effective

Details are in our Effective findings below.

Inspection report


Caring

Good

Updated 17 April 2019

The service was caring

Details are in our Caring findings below.

Inspection report


Responsive

Good

Updated 17 April 2019

The service was responsive

Details are in our Responsive findings below.

Inspection report


Well-led

Good

Updated 17 April 2019

The service was well-led

Details are in our Well-Led findings below.

Inspection report