Background to this inspection
Updated
12 January 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 18 and 19 October 2017 and was unannounced. The inspection team consisted of an inspector and an expert by experience on the first day of the inspection, and one inspector on the second day. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
As part of the inspection we reviewed the information we held about the service. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. We sought information and views from the local authority. We also reviewed information that had been sent to us by the public. We used this information to help us plan our inspection.
During the inspection we spoke with seven people who used the service and three relatives. We spoke with two visiting health care professionals, the registered managers, two senior nurses, four care staff, the activities co-ordinator, the chef, the staffing and training facilitator and an independent consultant. To help us understand the experiences of people we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people living at the service. We also carried out observations across the service regarding the quality of care people received. We looked at four people’s care records, records regarding medicines management and records relating to the management of the service; including recruitment records, complaints and quality assurance records.
Updated
12 January 2018
This inspection took place on 18 and 19 October 2017 and was unannounced. At the last inspection on 03 and 08 November 2016 the service was rated as ‘Requires Improvement’ overall and specifically in the key questions of ‘is the service; ‘Safe’, ‘Responsive’ and ‘Well-Led’. At this inspection we found the provider had made significant improvements in these areas.
Wyndley Grange Nursing Home provides accommodation and nursing care for up to 64 people. At the time of our inspection there were 49 people living at the service. The location is divided into two units, Wyndley Grange and Wyndley Mill which are adjoined by a court yard.
There were two registered managers in post, who shared the managerial responsibilities for the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were kept safe by staff who understood how to identify when they were at risk of harm and abuse. People were supported by a staff team who had the skills to support them effectively.
Staff sought people’s consent before providing care and support. Staff understood when the legal requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) should be followed.
People’s rights to privacy and confidentiality were respected by the staff that supported them and their dignity was maintained.
People had a variety of food, drinks and snacks available throughout the day. They were able to choose the meals that they preferred to eat.
People were supported to stay healthy and had access to health care professionals as required. They were treated with kindness and compassion and there were positive interactions between staff and the people living at the location.
People’s choices and independence were respected and promoted. Staff responded appropriately to people’s support needs. People received care from staff that knew them well and benefitted from opportunities to take part in activities that they enjoyed.
The provider had quality assurance systems in place in order to develop service delivery.
Relatives and staff were confident about approaching the registered managers if they needed to and they responded to complaints and concerns appropriately.