Archived: Wyndthorpe Gardens Care Home

Updated 20 January 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 17, 18 November 2015 and was unannounced. The inspection was carried out by an adult social care inspector.

We spoke with two care staff, two domestic staff, a nurse, the registered manager the area manager and a visiting healthcare professional. We asked four people who used the service for their views and experiences of the service and the staff who supported them.

The inspector visited the service to look at records around how people were cared for and how the service was managed.

We looked at the care records for eight people and also looked at records that related to how the service was managed.

Before the inspection the registered manager of the service had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

Before our inspection we reviewed the information we held about the service, including the information in the PIR, notifications sent to CQC and speaking to the local authority.

Updated 20 January 2016

We carried out an unannounced comprehensive inspection of this service on 21 and 23 October 2014 and found breaches of legal requirements. This was because the provider had not effectively assessed and monitored the quality of the service, worked within the legal requirements of the Mental Capacity Act 2005 and the Code of Practice, identified and responded to complaints and there were not always sufficient numbers of staff.

We inspected Wyndthorpe Gardens on 17and 18 November 2015 to check that they had followed their improvement plan and to confirm that they now met all of the legal requirements. The inspection was unannounced. Our inspection found that improvements have been made to meet the relevant requirements.

Wyndthorpe Gardens Care Home is a two storey care home situated in Dunsville, Doncaster and is registered to provide services for 38 older people. There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used this service were safe. The care staff knew how to identify if a person may be at risk of harm and the action to take if they had concerns about a

person’s safety.

The care staff knew the people they were supporting and the choices they had made about their care and their lives. People who used the service, and those who were

important to them, were included in planning and agreeing to the care provided.

The decisions people made were respected. People were supported to maintain their independence and control over their lives. People received care from a team of staff who they knew and who knew them. People were treated with kindness and respect.

The registered manager used safe recruitment systems to ensure that new staff were only employed if they were suitable to work with vulnerable people. The staff employed by the service were aware of their responsibility to protect people from harm or abuse. They told us they would be confident reporting any concerns to a senior person in the service or to the local authority or CQC.

There were sufficient staff, with appropriate experience, training and skills to meet people’s needs. The service was well managed and took appropriate action if

expected standards were not met. This ensured people received a safe service that promoted their rights and independence.

Staff were well supported through a system of induction, training, supervision, appraisal and professional development. There was a positive culture within the service which was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to maintain their independence.

The service was well-led. There was a comprehensive, formal quality assurance process in place. This meant that all aspects of the service were formally monitored to

ensure good care was provided and planned improvements and changes could be implemented in a timely manner.

There were good systems in place for care staff or others to raise any concerns with the registered manager.