The inspection took place on 18 April 2017 and was unannounced.
Winifred Dell Care Centre provides accommodation and personal care for up to 76 older people who may also have dementia. Care is provided in four units over two floors. At the time of our visit there were 69 people living in the service. The service does not provide nursing care.
A new manager was in post who had applied to become registered.. 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.
At our previous inspection we found a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the service did not always minimise the risk of falls for people. At this inspection we found the service had improved how risks were assessed, reviewed and managed. There were robust systems in place to assess and manage risks to people. Risk assessments were regularly reviewed and evaluated to ensure they remained relevant. Staff demonstrated a good awareness of the individual risks to people and how to manage them.
People were protected by the service’s approach to safeguarding and whistleblowing. Staff were aware of the different types of abuse and action to take if abuse was suspected.
People who used the service told us that they felt safe, could raise concerns if they needed to and were listened to by staff.
Checks of the building, equipment and maintenance systems were regularly undertaken to ensure people’s health and safety was protected.
There were sufficient numbers of staff that had been safely recruited to meet people’s needs.
Appropriate systems were in place for the management of medicines so that people received their medicines safely. Only staff who had received training and been checked to ensure they were competent administered medicines.
Staff received on going training and regular supervision and appraisals to support them to carry out their duties and responsibilities effectively.
The service was meeting the requirements of The Mental Capacity Act 2005 (MCA). Assessments of capacity that were of a high quality had been undertaken when required and appropriate applications for Deprivation of Liberty Safeguards (DoLS) had been made to the relevant local authority.
People were supported to have enough to eat and drink that met their preferences and any dietary or health requirements. However people living with dementia were not always adequately supported to make their own decision about what they would like to eat. We made a recommendation that the provider refer to best practice guidance on supporting people with dementia to make choices at mealtimes.
People were supported to maintain good health and wellbeing. The service was good at involving external healthcare professionals and obtaining advice and guidance when needed from specialists such as, the community nurse, dietician and GP.
Independence was promoted and people were treated with kindness, dignity and respect by staff who listened to them and knew them well.
Assessments were undertaken to identify people’s care and support needs. People’s care and support plans were regularly reviewed with people and their relatives. Care records contained up to date information about the care and support needed and included information about people’s likes, dislikes and personal choices.
There was a wide range of activities and events available for people to participate in. People were supported to access the community and provided with varied opportunities for social interaction.
The provider had a system in place for responding to people’s concerns and complaints. Any issues were investigated and dealt with appropriately by the manager.
There had been improvements in managerial oversight of the service and staff. Robust systems were now in place to monitor the quality and safety of the service. A wide range of audits had been undertaken to help identify any areas that required improvement.
People, relatives and staff were included in the running of the service. Any feedback provided was received positively and the service responded by making the necessary changes.