Wyncourt Nursing Home

Updated 5 January 2024

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors and an Expert 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.

Service and service type

Wyncourt Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Wyncourt Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The 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 annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 6 people who used the service and 4 relatives when we visited the service. We spoke with 10 members of staff including 2 deputy managers, the compliance manager,1 nurse, 3 care workers, a housekeeper, 1 nutrition staff member, and the maintenance officer. Following the inspection, 4 staff reached out with positive feedback and we also received positive feedback from 4 health professionals and 2 professionals working in education.

We reviewed a range of records. This included 3 people's care records and multiple medicine records. We looked at 3 staff recruitment files. A variety of records relating to the management of the service were reviewed.

We spent time conducting observations of staff interactions in communal areas as well as observing the lunch time experience and activities on offer.

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.

Following the inspection site visit we requested some documents electronically. These included further evidence of quality assurance checks and records relating to achieving outcomes.

Updated 5 January 2024

About the service

Wyncourt Nursing Home is a care home providing personal and nursing care for up to 35 people. The service provides support to older people and younger adults, including those living with dementia. At the time of the inspection there were 31 people living at the home.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or provide support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Staff excelled at providing care and support which was extremely person-centred and responsive to people's needs. Staff were passionate about their roles and dedicated to improving people's quality of life.

Feedback from people and relatives was excellent. Comments included, “I cannot begin to tell you how much it means to us to know [person’s name] is in such safe hands” and “All care is excellent, they can't do enough, all carers are excellent.”

People, relatives and staff told us the service was led by an exceptional management team and their visions and values were at the heart of the service. The management team used every opportunity to develop, discuss, promote and implement innovative ways of involving people in developing a high quality, outstanding service.

The service supported people nearing the end of their life to have a comfortable and dignified death by working closely with health care services and through consulting people about their end of life wishes. Staff talked with pride about the care they were able to give to people in their final days.

People, relatives and professionals highly commended staff's ability to respond with patience and knowledge when supporting people. Nursing staff received specialist training to successfully manage situations and avoid hospital admissions. Staff met regularly with the registered manager to discuss their performance and any further training needs.

People benefitted from a variety of activities, events and trips out that were organised to help reduce social isolation and enhance their health and wellbeing. Activities were tailored towards people's likes and preferences, which gave significant meaning and purpose. There were extremely strong links with the local community, which people valued.

There were always enough staff available to meet people's needs and keep them safe. People were supported by consistent staff who knew their needs well. Staff understood their responsibilities in protecting people from abuse and knew how to report any concerns they had. The provider's recruitment procedures helped ensure only suitable staff were employed. People's medicines were managed safely, and staff managed risks well to keep people safe.

The design and décor of the home had been carefully considered at the construction stage to ensure it was reflective of best practice guidance in relation to supporting people living with dementia.

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.

Medicines were administered safely to people and staff were observed following safe infection prevention control practices. Where incidents occurred, the provider had a system in place to review and learn from these to prevent reoccurrence.

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 25 September 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.