Background to this inspection
Updated
2 May 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.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
The White House (Curdridge) Limited 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 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 reviewed information we had received about the service since the last 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. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service, five relatives and two friends about their experience of the care provided. We spoke with ten members of staff including the provider, registered manager, care plan manager, unit manager, chef, day centre manager, senior care staff and care staff. We also spoke with two visiting professionals.
We reviewed a range of records. This included four people’s care records and multiple medicines records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We received feedback from 12 relatives and five professionals who regularly visit the service.
Updated
2 May 2020
About the service
The White House is a family owned, specialist dementia care home and provides accommodation with personal care for up to 46 people. The service supports both younger and older people living with dementia and other mental health conditions. There were 45 people using the service when we inspected.
People’s experience of using this service and what we found
The White House provided outstanding care for people living with dementia and other mental health disorders. We received consistently positive feedback from people, their relatives and health professionals who felt staff went the extra mile and delivered excellent care that was responsive and based around people’s individual needs. Staff working at The White House understood the needs of people using the service and supported people in an exceptionally personalised way. The impact this had on people was outstanding and had resulted in people continuing to live an active life with choice evident throughout.
Staff had developed positive and caring relationships with people and their families. Staff were highly motivated and demonstrated a commitment to providing the best quality care to people in a compassionate way. People’s privacy and dignity was always maintained.
The home provided a well-designed environment for people living with dementia, which enhanced their wellbeing, quality of life and independence. We received outstanding feedback about the gardens and building which people were able to move freely and without any restrictions.
People were happy with the activities on offer and many opportunities were available for people to participate in. This ensured people had a meaningful life and created a relaxing and calm atmosphere around the home.
People were supported to stay safe, protected from abuse and risks were assessed and well managed. There were sufficient numbers of qualified, skilled and experienced staff deployed to meet people’s needs. Staff were not hurried or rushed and when people requested care or support, this was delivered quickly. The provider operated safe and effective recruitment procedures. Medicines were stored and administered safely. Clear and accurate medicines records were maintained.
People, relatives and professionals consistently told us about the excellent care they received from well trained staff who demonstrated the knowledge and skills required to deliver outstanding care. Staff informed us they completed a wide range of training and felt it supported them in their job role. New staff completed an induction programme before being permitted to work unsupervised.
There was a strong emphasis on the importance of eating and drinking well. Mealtimes were encouraged to be a positive and sociable experience for people. People were supported with their nutritional needs in a flexible manner. People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes in relation to food and this helped to ensure people received outstanding care.
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.
The culture of the service was open, transparent and progressive. All the staff were committed to continuous improvement of the service and individual care. People using the service, their relatives and the staff felt valued.
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 outstanding (published 29 July 2017).
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.