Wensley House Residential Home

There were enough staff on each shift to keep people safe and meet their needs. Staff had been trained although further specific training in areas such as dementia was required to ensure staff met people’s individual needs. There was evidence that learning was taken from individual incidents and adverse events, accidents and incidents were investigated. Staff knew how to recognise and report abuse or poor practice. Risks to people's safety and wellbeing had been assessed and mitigated. People lived in a safe, clean environment and received their medicines in a safe way and as prescribed. There were systems in place to ensure people were protected against the risk of infection.

People’s needs were assessed before they moved into the home. People’s care needs were met through positive outcomes that were consistently achieved and met people’s expectations. People and relatives commented on the positive impact they had. All staff understood how to support people and the importance of building relationships. People were supported by a staff team who sought consent and respected those decisions when delivering person-centred care. Staff had received training to recognise when a person may lack capacity, however some staff did not demonstrate their awareness of this to us.

Managers and staff understand the health and care needs of people, so care is joined-up, flexible and supports choice and continuity. Staff assessed people’s communication needs and adapted their approach to meet those needs. People were treated in a person-centred way. The ethos of people first care was evident throughout our discussions and observations. Staff interactions were warm, friendly and affectionate.

Systems do not facilitate discussions about culture, service improvement or innovation. Staff told us they felt valued by the registered manager and provider, however neither had kept their knowledge up to date around their regulatory responsibilities. The registered manager acknowledged that audits and checks were not fully in place or embedded within the governance framework.