Updated 11 October 2023
About the service
Wallace House is a residential care home providing nursing and personal care for up to 40 people. The service provides support to people with a range of needs including physical disabilities, sensory impairment and those living with a dementia. At the time of inspection 39 people were using the service.
People’s experience of using this service and what we found
People and their relatives were very positive about the care provided. People told us they felt safe, and staff had the skills to support them.
Staff were safely recruited and received an induction followed by training from the provider. Training was monitored and staff were supported with regular meetings and supervisions. There was enough competent staff to meet service user needs.
People and relatives were involved in every stage of care planning. Systems and records were in place to ensure people received person-centred, safe care.
The registered manager had an effective quality assurance system in place. Regular audits and checks were completed. These were used to identify relevant action and lessons learnt. People, relatives, staff and professionals were offered opportunities to provide feedback about the care provided at the home.
The provider had made improvements to the building and many of the communal and private areas had undergone refurbishment. All staff ensured people living in the service were happy with the environment and found ways to promote their independence; their passions and interests maintained wherever possible.
The service was following safe infection prevention and control procedures to keep people safe
Medicines were managed safely. Risks to people were assessed and action taken to reduce the chances of them occurring. The registered manager acted on feedback immediately. People were safeguarded from abuse.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 5 November 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out a focused inspection of this service on 7 November 2022 looking at Safe, Effective and Well-led. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Regulation 17 (Good governance) and Regulation 9 (Person-centred care).
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Caring and Well-led which contain those requirements. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe, Effective and Well-led sections of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ li