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CQC report explained · a residential care home

What the CQC found at Winwick Park

Goodpublished 13 July 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Staffing levels, recruitment checks, safeguarding systems and medicines records were generally satisfactory. Inspectors noted missing safety features in parts of the property and some medicines procedures that needed completing.
Effective?
Good
People’s needs were assessed and reviewed, and they had suitable food and access to health professionals. Some staff training was incomplete, including training about the Mental Capacity Act, deprivation of liberty safeguards and infection control.
Caring?
Good
Staff were warm, attentive and respectful. They supported people’s preferred routines, communication, independence and family relationships.
Responsive?
Good
Care records were organised and person-centred. People had weekly activity plans, community opportunities and support to communicate choices. The home did not specialise in end of life care.
Well-led?
Good
A registered manager was in place and managers showed good knowledge of people’s needs. Audits and independent visits were used to monitor the home, although family feedback specifically about this home had not yet been included in the provider’s survey.
The latest report, explained

What inspectors found, July 2018

Winwick Park was rated Good; inspectors found kind, personalised care, with some environmental, medicines and staff training issues to address.

This was the home’s first CQC inspection since registration. It was unannounced and took place over two days in June 2018. Inspectors spoke with staff, managers and relatives, observed care, and checked care plans, medicines, staff records, complaints and safety checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors saw staff treating people with dignity and respect. People appeared relaxed, comfortable, well-groomed and content.

Care plans and risk assessments were in place and medicines were generally managed correctly. People had access to health professionals, nutritious food, activities and communication support suited to their needs.

Inspectors identified some matters needing attention. These included missing safety features in parts of the building, gaps in some staff training, and medicines procedures that were still being developed. The report says some action was taken or promised after the inspection.

What inspectors praised
  • Respectful care

    Staff treated people with dignity, protected their privacy and responded to their communication and support needs. People appeared comfortable and content in the home.

    “Staff interactions were warm and relaxed and people using the service were treated with dignity and respect and their privacy was safeguarded.” from the report
  • Personalised support

    Care plans included people’s routines, preferences, risks, communication needs and important personal information. Staff used pictures and other approaches to help people make choices.

    “Care and support plan records, risk assessments and supporting documentation had been updated to ensure staff had access to the requisite information to assist in the delivery of person centred care.” from the report
  • Health and nutrition

    People were supported to choose food and had access to health and social care professionals according to their needs. Staff recorded food and fluid intake.

    “People had access to a choice of nutritious meals and systems were in place to liaise with GPs and other health and social care professionals when necessary, to maintain people's health and wellbeing.” from the report
  • Activities and communication

    People had activity plans and access to community, leisure and family activities. Staff used picture-based communication to help people understand information and express choices.

    “The process was a valuable tool to assist in the promotion of effective communication and helped to reduce anxieties and difficulties for people who experience difficulties when processing information and decision making.” from the report
  • Management checks

    The provider had audits, independent visits and other checks covering care records, medicines, safety and staffing.

    “A range of auditing systems had been established by the provider to ensure key aspects of the service could be monitored effectively.” from the report
What inspectors were concerned about
  • Building safety features

    needs fixing

    Some radiators did not have protective guards, window restrictors were not fitted throughout the property and hot-water risks were not fully included in environmental risk assessments.

    “We noted that the property was not fitted with thermostatic mixing valves to regulate the hot water temperature and that not all radiators were fitted with protective guards.” from the report
  • Medicines procedures

    needs fixing

    PRN, or as-needed, medicines did not yet have written protocols during the inspection. The manager later sent inspectors two protocols, and formal recording of staff medicines competency was still due to be completed.

    “At the time of our inspection, PRN protocols had not been developed.” from the report
  • Staff training gaps

    needs fixing

    Inspectors found gaps in training about the Mental Capacity Act, deprivation of liberty safeguards, manual handling and infection control.

    “Furthermore, no record of infection control training was recorded.” from the report
  • Bathroom maintenance

    minor

    One bathroom needed a thorough clean and had loose tap fittings. Maintenance and resealing work was expected.

    “We noted that the bathroom had loose tap fittings and needed a thorough clean.” from the report
Questions to ask them, based on this report
  1. 01Have thermostatic mixing valves, radiator guards and window restrictors now been fitted wherever needed?
  2. 02How are hot-water and other environmental risks now recorded and reviewed?
  3. 03Have all staff completed training on the Mental Capacity Act, deprivation of liberty safeguards and infection control?
  4. 04Are PRN medicines now supported by written protocols, and how is each staff member’s medicines competency formally checked?
  5. 05Has the bathroom cleaning and maintenance work been completed?

This was an unannounced first inspection covering all five CQC questions, the care provided and the premises; there were no previous ratings to carry over. This explanation was written from the published report of 13 July 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Winwick Park

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. July 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Winwick Park →

  2. February 2017

    Registered with the Care Quality Commission on 17 February 2017.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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