Washington Manor Care Home

Updated 11 September 2020

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.

This was a targeted inspection to check on specific concerns we had about medicines management, staffing levels, dignity, responding to incidents and communication.

Inspection team

One inspector carried out this inspection.

Service and service type

Washington Manor Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 did not have a registered manager registered with the Care Quality Commission. The provider was recruiting a new manager as the registered manager had recently left to take on a new role.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was to ensure we could visit the service safely.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and the interim manager. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records including multiple medication records, training and incident and accident records. A variety of records relating to the management of the service, including the improvement plan for the home.

After the inspection

We contacted relatives to gather their views about the service.

Updated 11 September 2020

About the service

Washington Manor Care Home is a residential care home providing personal care to 61 people aged 65 and over at the time of the inspection. The service can support up to 68 people.

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

The provider had made significant progress with making improvements since our last inspection. There was good oversight of the home through more effective quality assurance. Medicines were now managed safely. Completion of training had improved and the provider was now following the requirements of the Mental Capacity Act.

All care plans had been reviewed to ensure they were based on an accurate assessment of people’s needs. Care plans were now more personalised and detailed.

People and relatives said the care provided was good and staff were kind and caring. There were good relationships between people and staff.

People, relatives and staff felt the home was safe. There were good systems to monitor incidents and accidents to help learn lessons and keep people safe. Staff understood how to raise safeguarding and whistle blowing concerns and confirmed they felt confident to do so. Previous safeguarding concerns had been dealt with appropriately.

There were enough staff to meet people’s needs. New staff were recruited safely.

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 had opportunities to participate in various activities. People were confident to raise concerns if required. Previous complaints had been fully investigated and resolved.

There were regular opportunities for people and staff to give feedback. They confirmed their views were listened to. People, relatives and staff said management were approachable and there was a welcoming atmosphere.

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 3 May 2019) and there were multiple 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

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.