Archived: Winford House

Winford House is a domiciliary care agency and extra care housing service which provides personal care and support to people who live in their own flats within one purpose-built building. The service supported adults some of whom were living with physical and mental health conditions, including dementia.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of inspection 40 people who lived at Winford House received personal care from the service.

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

People told us the service was safe. Medicines were well managed, and people were happy with the way staff gave them their medicines. Staff were aware of how to identify and report safeguarding concerns. Staff followed infection control procedures.

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 involved in their care planning. Records were regularly reviewed to ensure people’s up to date needs were reflected. Staff ensured people had access to healthcare professionals, for example contacting their GP or emergency services if they became unwell. People were supported with meals and any special dietary requirements were met. Staff received appropriate training and support.

The service was caring. People told us the staff treated them with kindness and respect. Staff were

aware of how to protect people's privacy and dignity and people told us the staff did this well.

Staff had access to detailed information to provide people with safe care and support. Care records were on an electronic system and were regularly updated. People were involved in decisions about their care. Staff were aware of people's communication needs and how best to support them. Complaints were handled in line with the provider’s policy.

Quality assurance systems were in place to monitor the quality of care and support people received. The provider sought feedback from people using the service and used this information to make improvements where necessary. We found the management team receptive to feedback and keen to improve the service. The registered manager worked with us in a positive manner and provided all the information we requested.

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 18 March 2020 and this is the first inspection to look at all five domains and award a rating.

Why we inspected

This was a planned inspection based on the date the service was registered.

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.

Winford House is a Domiciliary Care Service providing personal care to people in their own homes. Not everyone who used the service received personal care. Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection personal care was provided to 114 people.

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

People and their relatives spoke positively about the personal care they received. People told us they received their care and support from regular staff who understood their needs. Care calls were managed electronically, and associated records were up to date.

Staff discussed how they had received safeguarding training and were clear on how and when to raise their concerns. The provider had embedded systems and processes which were followed to investigate any concerns. Where appropriate, actions were implemented to keep people safe.

There were enough appropriately skilled staff to meet people’s assessed needs. Staff training was managed electronically and was up to date. Where assessed, people received support from skilled staff to take their medicines safely as prescribed.

The provider had implemented a range of checks to maintain and improve standards of service. Where areas of improvement were identified, action plans were in place and reviewed for their effectiveness. The registered manager discussed how the service would benefit from further evaluation of performance as it continues to evolve.

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

Rating at last inspection

This service was registered with us on 18/03/2020 and this is the first inspection.

The last rating for the service under the previous provider was Requires Improvement, published on 28/11/2018.

Why we inspected

We undertook this targeted inspection to check on specific concerns we had received about skilled staffing levels, medicines management, and service management. A decision was made for us to inspect and examine those risks.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. We will assess all of the key questions at the next comprehensive inspection of the service.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the Safe, Effective, and Well- led sections of this full report.

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.