Background to this inspection
Updated
23 October 2021
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 carried out by two inspectors and a specialist advisor on the first day and one inspector on the second day. The specialist advisor was a registered nurse.
Service and service type
Signature of Wandsworth is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 information we had received about the service since they registered with us, including any
statutory notifications received. We used the information the provider sent us in the provider information return. 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 five people who used the service and one relative about their experience of the care provided. We spoke with ten members of staff including care workers, registered nurses, maintenance personnel, residential care manager, registered manager, business support manager and the regional support manager. We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service including, fire safety and quality assurance were looked at.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted one professional and three relatives who regularly visit the service.
Updated
23 October 2021
About the service
Signature of Wandsworth is a residential care home providing personal and nursing care to 28 people aged 65 and over at the time of the inspection. The service can support up to 97 people.
The care home accommodates people across five floors, each of which has separate adapted facilities. Two of the wings specialise in providing care to people living with dementia.
People’s experience of using this service and what we found
People's medicines were managed safely. People received care and support from adequate numbers of staff. Risk management plans in place gave staff guidance on how to mitigate risks. Staff were aware of how to safeguard people from abuse and what steps to take should they suspect people were being abused. Accidents and incidents were recorded and analysed to minimise repeat occurrences and the service learned lessons when things went wrong.
Training provided by the service ensured people received support from staff that were competent in their role and reflected on their working practices. Food and drink provided met people’s dietary, nutritional needs and preferences. People were supported and encouraged to monitor their health and well-being and had access to healthcare professionals when required. The service had been designed and adapted to meet people’s diverse needs.
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 described staff members as kind, considerate, respectful, and nice to be around. Interactions between staff and people were positive and where assessed as safe to do so, people were encouraged to retain their independence. People’s needs were regularly assessed, and care delivered in line with their needs. People’s diverse cultural and faith needs were respected and promoted.
People’s care was planned in line with their preferences and needs. People were encouraged to participate in activities to minimise the risk of social isolation. Complaints were managed in line with the provider’s complaints policy. People’s communication needs were catered to. People’s end of life wishes were documented.
People and staff told us the service was well managed. Audits undertaken identified issues and action taken to address these were carried out swiftly. The registered manager worked in partnership with stakeholders to drive improvements. People’s views were regularly sought and acted on.
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 28.01.2021 and this is the first inspection.
Why we inspected
This was a planned inspection based on our inspection programme.
We have found evidence that the provider needs to make improvement. Please see the safe section 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.