Wyndham House

At the last inspection (publish 31 May 2018) the rating for this key question was Good. At this assessment the rating for this key question has changed to requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.

We found that the service did not effectively implement systems to assess and mitigate risk to the health, safety and welfare of people using the service and the management of their medicines. This was a breach of regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The provider did not have a robust systematic approach to determine and review the number of staff required in order to meet the needs of people using the service and keep them safe at all times. This was a breach of Regulation 18(1) (Staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Some improvements were needed in relation to infection prevention and control.

People and their relatives told us they felt safe living at the service and were complimentary about the support received from staff.

The provider took our feedback on board and immediately developed an action plan to address the concerns we identified during the assessment. They have been engaging with CQC to provide updates on the progress made.

At the last inspection (publish 31 May 2018) the rating for this key question was Good. At this assessment the rating for the key questions has changed to requires improvement. This meant the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care. The provider had a variety of quality monitoring systems to support the management team to review and assess the service delivery at Wyndham House. However, we found these were not always effective and robust enough to assess, monitor and improve the quality of care people received. This was a breach of Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Staff were mostly positive about the management of the home and the registered manager was positive about the support they received from the provider. The management team and the provider took our feedback on board and started implementing changes during the assessment. Such as addressing the concerns in relation to the carpet and reviewing the risk management related to the open staircase. A focused action plan was developed and shared with CQC and a schedule of regular engagement was proposed to discuss the progress of the actions the provider was taking to address our concerns.