Background to this inspection
Updated
20 April 2021
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 8 April 2021 and was announced.
Updated
20 April 2021
About the service
Wilmington Manor Care Home is registered to provide nursing care with accommodation for up to 50 people. There were 46 people living at the home on the day of our inspection. Most people lived in the home permanently, however, some people stayed for a planned period of respite care. For example, if they were recovering from a medical procedure or health issue or if their usual carers were having a break. People living at the home had varying nursing care needs. Accommodation was over two floors plus a mezzanine floor. A lift was available, so people could move between floors easily.
People’s experience of using this service and what we found
People and their relatives felt the service was safe. One person said, “I feel very safe, the staff know how to keep me safe. It is very nice here.” Staff understood how to recognise and report concerns or abuse. The provider continued to have a robust recruitment programme which meant all new staff were checked to ensure they were suitable to work with vulnerable people.
There were risk assessments in place to identify any risk to people and staff understood the actions to take to ensure people were safe. There were enough staff to support people with their daily living and activities.
People and relatives felt staff had the right training to meet people’s needs. People's needs and choices were assessed in line with current legislation and guidance in a way that helped to prevent discrimination. People were supported to have enough to eat and drink. People and relatives spoke positively about the quality and choices of food and drinks. Staff contacted medical services promptly for advice if there were concerns about people’s health.
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 and relatives said the support provided from staff was kind and caring. A person said, “I feel the staff care about me in the way that they are with me. I said that I preferred to have a female carer when showering and they have respected that.” Another person said, “They [staff] always knock on my door before coming in. They respect me.” One relative said, “The staff are laid back, friendly and kind when I visit.” People also commented on how well staff knew them and supported them in the ways they preferred. People said they felt involved in making decisions about their care.
People received responsive care and support which was personalised to their individual needs and wishes and promoted independence. There was clear guidance for staff on how to support people in line with their personal wishes, likes and dislikes.
There were systems to monitor the quality of the service, ensure staff kept up to date with good practice and to seek people's views. Records showed the service responded to concerns and complaints and learnt from the issues raised.
People and relatives felt the service was well-led. One person said, “It is wonderful here.” The management team demonstrated an open and positive approach to learning and development. Staff said the management team were open to suggestions and approachable.
The management team and staff worked professionally with agencies outside of the service and ensured a transparent, honest and open approach to their work which was valued by others.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 14 June 2017).
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.