The Care Quality Commission
  • Care Home
  • Care home

Archived: Wyndthorpe Hall and Court Care Home

Overall: Good read more about inspection ratings

High Street, Dunsville, Doncaster, South Yorkshire, DN7 4DB (01302) 884650

Provided and run by:
Four Seasons Homes No. 6 Limited

Important: The provider of this service changed. See new profile

All Inspections

17 August 2015

During a routine inspection

We inspected Wyndthorpe Hall and Court Care Home on 17 August 2015. The inspection was unannounced.

Wyndthorpe Hall and Court Care Home provides accommodation and personal care and is registered for 44 people. On the day of the inspection 36 people were receiving care services from the provider. The home is comprised of two units, the Hall and in the Court.

The home was in the process of recruiting a registered manager and the home was being managed by the registered manager from another of the provider’s homes on an interim basis.

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.

When we visited the home in December 2014 we found it was in breach of regulations ; Regulation 12 HSCA 2008 (Regulated Activities) Regulations 2010 Cleanliness and infection control, Regulation 13 HSCA 2008 (Regulated Activities) Regulations 2010 Management of medicines, Regulation 18 HSCA 2008 (Regulated Activities) Regulations 2010 Consent to care and treatment.

We found that the provider had continued a programme of improvement and changes had been implemented which satisfied previous breaches of regulation. Whilst this had a positive impact on the people who used the service we found some areas still required some improvement. The administration, record keeping and stock management of medicines needed to continue to be improved.

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. One person who used the service told us, “It’s smashing, I have everything I need.”

The provider had recruitment systems to ensure that new staff were only employed if they were suitable to work with vulnerable people. However, the systems were not always observed. 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 formal quality assurance process in place. This meant that aspects of the service should be formally monitored to ensure good care was provided and planned improvements were implemented in a timely manner. We found that the audit s carried out did not always identify discrepancies and areas for improvement in relation to records.

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

18 and 19 November 2014

During a routine inspection

This inspection took place on 18 and 19 November 2014. The first day of the inspection was unannounced. This meant that the provider did not know in advance, when we were inspecting the service. We last visited the home in August 2013 and found there were no breaches in the regulations we looked at.

Wyndthorpe Hall and Court is a care home that provides care for up to 44 people who are aged over 65 years. It is located in Dunsville area of Doncaster.

There was 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 we spoke with who used the service and their visiting relatives told us they were very happy with the service. However, we found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 in regard to cleanliness and hygiene, in relation to the management of medication, and the monitoring of the quality of some aspects of the service. This was because there were areas that were not clean enough, the room some medicines were stored in was too hot and the staff did not check all relevant records before administering controlled drugs.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We found that the best interests and DoLS process had not always been followed or documented appropriately, so there was not always evidence that staff worked within the Mental Capacity Act 2005 Code of Practice.

You can see what action we told the provider to take at the back of the full version of the report.

The systems used to monitor the quality and safety of the service was not always effective as managers had not picked up all the areas of concern we identified at the inspection.

The management team asked people to give feedback about their care and support to see if there were any improvements they needed to make. People and their relatives were involved in the assessments about their care and involved in producing their care plans.

There was information available about how to make a complaint and people were confident they would be listened to.

Staff were recruited in accordance with the provider’s recruitment policies and understood their role in safeguarding vulnerable adults from abuse. They were seen to be caring in their approach and treated people with respect. Overall, we found that staff received a good level of training and support.

People’s health care needs were assessed and they had good access to healthcare services, such as GPs and district nurses. We saw evidence of people’s nutritional needs being met. People said they enjoyed the food provided and they spoke positively about the care staff and about the way the home was run.

Staff showed people respect and took steps to maintain their privacy and dignity. People told us that staff always knocked on their bedroom door.

13 August 2013

During a routine inspection

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

The people we spoke with told us their care and treatment in the home was good. One person spoke very positively about the home, they said, 'I feel very at home here and I'm very well looked after.' We found people experienced care, treatment and support that met their needs and protected their rights.

There were enough qualified, skilled and experienced staff to meet people's physical care needs. One person who used the service told us, "The staff are absolutely lovely." Several staff told us that there was not much time for care staff to spend talking with people who used the service.

The provider had an effective system to regularly assess and monitor the quality of service that people received.

We found that people's personal records were accurate and fit for purpose. Staff records and other records relevant to the management of the services were also accurate and fit for purpose.

27 November 2012

During a routine inspection

We found that people's views and experiences were taken into account in the way the service was provided in relation to their care. We spoke with seven people who used the service. They told us they were treated with respect and were very happy with the care they received. One person said, "They are very good about maintaining our privacy."

People experienced care, treatment and support that met their needs and protected their rights. One person who used the service said, 'They know what we want and need because it's all gone into and we have our own care plans."

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. All of the people we spoke with told us they felt safe in the home and with the staff.

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. One person said, "The staff are very helpful."

We found that the provider had an effective system to regularly assess and monitor the quality of service that people received.

20 December 2011

During a routine inspection

People who used the service told us they were happy with the care provided and were involved in decisions about their care and welfare needs.

We spoke with four relatives during our inspection who told us they had not been involved in the development of their relatives care plan, but this had been their choice. They also told us their relative's dignity was respected and confidentiality was always maintained.

People who used the service told us they were happy living at the home and they were well looked after.

We spoke with four relative's who told us they were happy with the care and their family member was well looked after. The four relatives we spoke with told us that the staff understood the care needs of their family member and were contacted by the home straight away if their family member required any treatment.

We spoke with four relatives who confirmed they would talk to the manager if they had any concerns. People who used the service told us that they felt safe at the home and they would tell staff or the manager if they were worried about anything.