Archived: The Wolds Care Centre

We found the following examples of good practice.

¿ Information and guidance on Covid 19 restrictions and infection control measures in place was available and visible for staff, people and visitors.

¿ The manager had a clear communication programme in place for people, staff and relatives to keep them updated with issues related to Covid 19.

¿ There were sufficient Personal Protective Equipment (PPE) supplies in place to ensure safe infection prevention and control practices were undertaken. Infection control policies had been amended to reflect current national guidance.

¿ There was an enhanced cleaning programme in place at the service and the service was visibly clean and well maintained. The housekeeping team wiped high use touch points throughout the day to reduce the spread of infection.

¿ The provider had ensured staff were skilled in infection prevention and control (IPC). This included up to date training on infection control and 'Donning and Doffing', how to put on and remove Personal PPE.

¿ Allocation and organisation of staff on the four units was undertaken to reduce the risk of spread of infection.

¿There was a testing programme in place for staff and people living in the service. This was to ensure if any staff or people had contracted Covid-19 and were asymptomatic, were identified in a timely way.

¿ A recent outbreak of Covid 19 at the service had been managed well and the plans in place to support people had been utilised safely. Staff who tested positive or had displayed symptoms of Covid 19 had shielded in line with the government guidance and were symptom free before returning to work.

¿ People were supported to keep in touch with their relatives via telephone calls, video links and window visits. When lockdown restrictions had been eased socially distanced garden visits were introduced. The provider was also erecting a floor to ceiling Perspex screen in a lounge area, which can be accessed from the garden, with an integrated intercom system to further support relatives visits safely.

¿ People admitted to the service were supported following government guidance on managing new admissions during the Covid 19 pandemic. The provider had specific Covid 19 care plans in place for people to provide guidance for staff caring for them.

Further information is in the detailed findings below.

The Wolds is a residential care home providing personal and nursing care to 64 people at the time of the inspection. The service can support up to 66 people. The care home accommodated 64 people across four separate wings, each of which has separate adapted facilities. One of the wings specialises in providing care to people living with dementia.

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

People were protected from abuse. Systems were in place to ensure people’s safety. Risks were assessed and managed. Medicines were managed appropriately and safely. The providers medicines policy required updating. This was done immediately during the inspection. Accidents and incidents were recorded, and measures were taken to improve and learn.

People’s needs were assessed, and outcomes were met. People and relatives told us their needs were met well. People and relatives told us food was of good quality, the cook had systems in place to ensure people could eat and drink what they wanted. Staff received the training they needed to do their job well. People’s consent to care was sought. 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.

Staff were caring thoughtful and attentive. People and relatives consistently told us staff were kind and caring and they were treated well. People were given the opportunity to express their views regularly and were involved in their care. Staff were knowledgeable about how to maintain privacy and dignity.

People were receiving care that was responsive to their needs. Staff understood the needs of people they are supporting. Care plans were being developed to include more person-centred information. Some care plans contained enough information to meet people's needs, others contained a far richer level of information which would enable staff to know more about the person and therefore meet their needs in a more person-centred way. People knew how to complain and raise concerns. People were given the opportunity to take part in regular activities of their choosing. The activities coordinator was enthusiastic and keen for people to try new things.

The management team had a genuine desire to provide good quality care to people living in the home. Staff were complimentary about the support they received from their managers. Processes were in place to ensure the delivery of care was monitored and checked regularly. Governance systems identified areas for improvement and plans were developed and actioned. The registered manager and the team had built good working partnerships with other health and social care professionals and had built links in the community.

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 05 December 2016)

Why we inspected

This was a planned inspection based on the previous rating.

The people we spoke with told us their care was personalised to their needs. Staff recorded assessments and daily events on a computer based record. Not everyone who used the service had been involved in creating their care plans, but most knew records were kept on them. One person said, "All my needs are being met."

People told us they felt safe.If they were concerned about anything they would discuss it with a staff member. One person said, "I feel safer living here than at home." Staff knew what to do if they suspected someone was being abused.

The people who used the service told us they liked the staff and felt confident they knew their job. One person told us, "When I go to staff they can always come up with a solution to my problems." Staff received supervision and training.

People told us they had been involved in a survey and spoke to the management staff on a regular basis. One person told us, "I can go to the manager at any time. They have an open door all the time." A relative told us they had been in discussion with the manager about the care their family member received.The manager completed regular audits to ensure the quality of the care being delivered was being maintained.