Winfield Lodge

The building is laid out over three floors, with lounges on the middle and ground floor, a large dining area on the ground floor and two lifts for people to use, although at the time of the inspection one lift was not working. There is a storage area for equipment such as hoists and wheelchairs. There is a hairdressing salon on the first floor.

People told us staff who supported them were caring. We observed caring interactions between staff and people on both days of our inspection. Although people were not aware of what a care plan was, they told us they were involved with making decisions about their care. People told us they were treated with dignity and respect.

People received care that was personalised to meet their needs. Complaints and concerns were responded to appropriately by the service. No one was receiving end of life care at the time of our inspection however we reviewed a compliment and one end of life care plan for a person who had recently passed away. The service had installed technology into the walls that could monitor if a person at risk of falls had fallen.

The service was working to build relationships with organisations in the community including a local school and religious organisation. People were supported to express their views, questionnaires were reviewed by the service to identify areas for improvement. We received mixed comments from staff about the registered manager, however staff told us they worked together as a team to achieve good outcomes for people. There were checks and audits in place to ensure that errors, omissions and themes and trends were identified, and actions taken to prevent a recurrence.

Peoples' needs were assessed, and detailed care plans guided staff about actions they should take to meet the needs of people and help them to retain their independence. Staff received training relevant to their roles, however the service had identified that equality training was an area for development. People were supported to eat and drink, the service was working to improve the dining experience and planned to

introduce a buffet. Staff worked together as a team and worked well with external healthcare professionals to ensure good outcomes for people. People's needs were met by the home environment, the service was working with people to improve the décor in line with their requirements. Staff ensured consent was gained before providing care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.