Archived: Signature at Wimbledon

Updated 17 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by two inspectors, an inspection manager and an Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Signature at Wimbledon is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed notifications we held about the service.

We used all of this information to plan our inspection.

During the inspection

We spoke with 11 people that use the service and three visiting relatives. We also spoke with the registered manager, operations director, deputy chief executive, group facilities manager, hospitality and catering manager, regional support partner, quality team officer, the head chef, the acting dementia care manager, two senior care workers, three care staff and a visiting professional.

We reviewed a range of records. This included four care records, five staff files, multiple medicines administration records and quality assurance documents.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at incident and accident analysis records, as well as the staff appraisal schedule. We sought feedback from a healthcare professional that worked with the service.

Updated 17 December 2019

About the service

Signature at Wimbledon is a care home providing personal care to 53 people aged 65 and over at the time of the inspection. The home accommodates up to 79 people in one adapted building.

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

People received their medicines safely, and potential risks to people were managed well. There were enough staff to meet people’s needs. The premises were safely maintained staff understood how to manage infection control. Actions were taken to ensure learning from incidents and accidents were learnt. Safeguarding allegations were effectively reported and investigated.

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.

People’s food and drink needs were well met, and people were supported to access healthcare professionals where necessary. Staff received appropriate levels of support to enable them to carry out their roles. Improvements had been made to ensure the environment was dementia friendly.

People were supported by caring and compassionate staff. Staff ensured people’s privacy and dignity was respected. Where people had cultural or religious needs, the provider looked to accommodate these.

People and their relatives were involved in the planning of their care. Complaints were effectively investigated and responded to. Where people required support with their end of life wishes this was managed sensitively.

The management team were available to people, relatives and staff. Quality assurance systems supported the service to improve and learn. The provider worked alongside other agencies to support improvements in care delivery.

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 Requires Improvement (published 08 December 2018). Since this rating was awarded the two providers have become dual registered. Both providers are jointly responsible for service delivery at the location. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.