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The Whitecroft Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 April 2019

About the service:

• The Whitecroft is a residential care home that was providing personal care to 48 people aged 65 and over, some who were living with dementia.

People’s experience of using this service:

• People at risk of choking were not always monitored in accordance with their risk assessment which put them at risk of unsafe care.

• Kitchen staff were not aware who was at risk of choking as there was an incorrect list in the kitchen area.

• Staff were stretched during busy times and this impacted on people care especially during mealtimes.

• People who needed support in their rooms were waiting slightly longer after pressing call bells during mealtimes. People who needed support during mealtimes were not receiving this.

• Quality audits were present to drive improvement and to monitor quality within the service. However, care plan audits were not identifying people were not always receiving safe care in relation to choking risks.

• People told us staff were kind towards them and we observed mainly positive interactions between people and staff. Where a poor interaction was observed this was raised directly with management.

• People’ medicines were managed safely at the service and staff had completed training.

• The home, including people’s bedrooms, was clean. Systems were in place to minimise the risk of spread of infection.

• Staff were supported to have the skills to do their job and received regular training, supervision and appraisals.

• People were supported to have good outcomes in relation to their healthcare and the service worked well with health professionals to support this.

• People at risk of pressure wounds were monitored well by staff.

• People’s privacy and dignity was respected as were people’s individual needs. Staff at the service were non- discriminatory.

• Activities took place at the service but required more structure and resource so that everyone at the service could participate if they were unable to leave their room.

• Care was personalised and regularly reviewed. People were involved in this process along with their family or advocate to provide support.

• We made three recommendations around health and safety for evacuation procedures, frequency of controlled drugs audits and training in compassionate care.

Enforcement:

• We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around , safe care and treatment and support during mealtimes.

Details of action we have asked the provider to take can be found at the end of this report.

Rating at last inspection:

• Good - last report published 2 July 2016.

Why we inspected:

• This was a planned inspection to check if the service was meeting the legal requirements.

Follow up:

• We will continue to monitor the service and ask for an action plan asking how they will immediately begin to improve.

Inspection areas

Safe

Requires improvement

Updated 9 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 9 April 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 9 April 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 9 April 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 9 April 2019

The service was not always well-led

Details are in our Well-Led findings below.