Background to this inspection
Updated
14 March 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 an inspector, inspection manager and an assistant inspector.
Service and service type
Wordsley Hall is a care home. People in care homes receive accommodation and nursing or personal care as 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 sought feedback from the local authority and professionals who work with 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 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 six people who used the service and four relatives about their experience of the care provided. We spoke with five care staff, the cook and kitchen assistant, an activities coordinator, deputy manager, registered manager and the area 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 documents and records including the care records for six people, 10 medicine records and three staff recruitment files and training records. We also looked at records that related to the management and quality assurance of the service.
After the inspection
We continued to seek clarification from the provider to validate the evidence found. We requested training information and quality assurance information.
Updated
14 March 2020
About the service
Wordsley hall is a residential care home providing personal care for up to 41 older people, some of whom live with dementia. At the time of the inspection the service was supporting 38 people. The care home accommodates people in one adapted building.
People’s experience of using this service and what we found
People were safely supported by staff and systems were in place to identity and minimise risks to their safety and wellbeing. People were supported by sufficient numbers of staff who knew people well. Systems were in place to ensure lessons were learnt following any accidents or incidents that occurred at the home to reduce risks to people.
People were supported by staff who received appropriate training and support to carry out their roles and responsibilities. Staff were knowledgeable about people, and how best to support them. Staff worked in partnership with healthcare professionals to ensure people’s health needs were met.
People, as much as practicably possible, had choice and control of their lives and staff were aware of how to support them in the least restrictive way and in their best interests; the policies and systems in the service supported this practice. People and relatives made positive comments about the staff that supported them. Staff were described as friendly caring, down to earth and people and relatives spoke about the positive atmosphere in the home. People were treated with respect and dignity and their independence was promoted. People were supported to participate in meaningful activities.
Peoples were involved in the development of their care plans which reflected their needs and preferences. People and relatives knew how to raise concerns and felt confident any issues would be addressed.
People, relatives and staff thought the service was managed well and in people’s best interests. The registered manager was described as approachable, kind, open and transparent in the way they managed the service. Systems were in place to monitor the delivery of the service and to gain feedback from people and relatives to continuously improve the service provided. All the required improvements from our last inspection had been made.
Rating at last inspection
The last rating for this service was Requires Improvement (published 8 March 2019).
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk