WYCHDENE CARE HOME

Updated 14 April 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was completed by 1 inspector.

Service and service type

Wychdene is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Wychdene is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there were 2 registered managers in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people and relatives about their experiences of the service. We spoke with 8 staff including the nominated individual, registered managers, head senior carer, chef, activities co-ordiantor and 2 care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included 4 people’s care records, medication records and 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including checks and audits were reviewed. We also spoke with health care professionals.

Updated 14 April 2023

About the service

Wychdene is a residential care home providing accommodation for up to 24 people requiring personal care. The service provides support to older people and people living with dementia in one large adapted building. At the time of our inspection there were 22 people using the service.

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

People, their relatives, staff and health care professionals told us the service had improved since the provider managed the service. People were at the centre of everything that happened and were involved in making decisions about any changes. They were asked for their views and these were acted on. The provider kept up to date with national guidance and best practice and worked with the registered managers to continually develop the service. Staff worked as a team, and felt supported, motivated and appreciated.

People told us they felt safe at the service. They were supported to take risks where they wanted to and action was taken to reduce and manage risks. Staff understood how to protect people from abuse and were confident to raise any concerns they had. People’s medicines were managed safely and infection control risks were managed in line with national guidance. Lessons had been learnt when things went wrong. There were enough staff, who had been recruited safely, to meet people’s needs.

People’s needs had been assessed using recognised tools. They were supported to eat well and had planned menus with staff. Staff worked well with health care professionals to keep people as well as possible. Staff had been supported to develop the skills they required to meet people’s needs. The environment had been designed to meet people’s needs and make them fell at home.

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 were treated with kindness and compassion. They had privacy and were supported to remain as independent as possible. People were given opportunities to share information about their lifestyle choices, sexual orientation and gender identity. Their responses were respected.

People planned their care with staff and staff supported them in the way they preferred. They had been encouraged to share their end of life wishes, so staff knew their preferences. Information was available to people in ways they could understand, such as pictures. People told us they had enough to do each day and were planning trips and outings with staff. The provider and registered managers encouraged people to raise any issues so they could be resolved before they became a complaint.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 21 January 2022 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 21 November 2019.

Why we inspected

This was a planned inspection based on our inspection programme. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.