Background to this inspection
Updated
26 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
¿The inspection team comprised one inspector, a specialist advisor with experience in nursing and two Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The experts for this inspection had experience caring for people living with dementia.
Service and service type:
¿Wilton Manor Care Home 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 the Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
¿We reviewed information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.
¿We visited the service on 5 and 8 March 2019. During the site visit we spoke with 17 people and 12 relatives.
¿We spoke to the registered manager, the deputy manager, the maintenance manager, the provider’s quality manager and 13 members of nursing, care or administrative staff.
¿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 seven people’s care plans and medicines administration records. We also reviewed audits related to quality and safety in the service, the incident log, the provider’s complaints file, the provider’s training matrix and key policies developed by the provider.
Updated
26 April 2019
About the service:
¿ Wilton Manor Care Home is a care home with nursing. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided. Both were looked at during this inspection.
¿ People living at Wilton Manor Care Home were aged over 65, some of whom had nursing care needs. Some people were living with dementia.
¿ Wilton Manor Care Home is registered to provide care for up to 69 people. At the time of inspection there were 58 people using the service.
¿ For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
People’s experience of using this service:
¿ People received high quality care that was safe, effective, caring, responsive and well led.
¿ People and their relatives consistently provided positive feedback about all aspects of the care they received.
¿Staff were highly skilled and motivated in their role. Many had taken on additional roles and responsibilities which had resulted in service wide improvements and outstanding outcomes for people’s health and wellbeing.
¿The provider had ensured excellent outcomes for people in relation to nutrition, hydration, falls management, pressure care and living with dementia.
¿The provider was creative in ensuring the environment was suitable for people needs.
¿ The provider worked with stakeholders to ensure they were following best practice and aspiring for continuous improvement.
¿ The registered manager was effective in their role and systems were in place to monitor the quality of the service and drive improvements.
¿ The registered manager had resigned from their role and the provider had appointed a new manager to take over the running of the service.
¿ People received safe care. The provider mitigated risks associated with people’s health and had systems in place to protect them against the risks of abuse and harm.
¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
¿People were treated with dignity and respect. Relatives told us communication by the provider was good and they were welcomed within the service.
¿People received personalised care which reflected their needs and preferences. The provider understood the principles of providing empathic and responsive care at the end of people’s lives.
Rating at last inspection:
¿At our last inspection, we rated the service good (report published 14 December 2016). At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.
¿The rating has remained good but the service has now improved to outstanding in Effective.
Why we inspected:
¿This inspection was part of our scheduled plan of visiting services to check the safety and quality
of care people received.
Follow up:
¿We did not identify any concerns at this inspection. We will therefore re-inspect this service within the published timeframe for services rated Good. We will continue to monitor the service through the information we receive