Wilbury

Updated 7 March 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: This inspection was carried out on one day by one inspector and an expert by experience, who had experience of older people. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type: Wilbury is a Care Home, providing accommodation and personal care for older people with minimal support needs. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided

Notice of inspection: This inspection was unannounced.

What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection, we spoke with 7 people living at the home and three relatives to ask about their experience of the care provided.

We spoke with six members of staff including the provider, registered manager, manager, housekeeper and care workers.

We reviewed a range of records. This included three people's care records and medication records. We also looked at two staff files in relation to recruitment and training records, records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider.

Updated 7 March 2019

About the service: Wilbury has 18 bedrooms and is registered to accommodate a maximum of 19 people. Eleven rooms have en-suite facilities. It specialises in providing support to older people who require minimal assistance with their personal care. Bedrooms are located over four floors which are accessible via stairs or a shaft lift. There is level access to the gardens at the rear of the property. At the time of our inspection 16 people were living at the service. For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

People’s experience of using this service:

At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

People were protected from avoidable harm. Staff knew how to recognise the potential signs of abuse and what action to take to keep people safe. People told us they felt safe and knew who to contact if they had any concerns. The registered manager continued to ensure there was enough staff to support people safely and they followed safe recruitment processes. One person told us, “I feel really at home here. If I hadn’t, I wouldn’t have stayed.”

People continued to receive their medicines safely and on time and staff were trained in administering medicines. People were protected by the prevention and control of infection and staff wore gloves and aprons when supporting people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. One person told us, “I can’t say a word against it’ I get up and go to bed when I want, and staff help me when I need help.”

People continued to be supported by staff who had the training, skills and knowledge to deliver effective care and support. People were supported to maintain their health and had support to access health care services when they needed. People were supported to maintain a balanced diet and were overwhelmingly positive about the food.

People continued to receive kind and compassionate care. One person told us, “The staff are all very kind and patient. We get to know them all as friends.”

People continued to receive personalised care that was responsive to their needs. People could choose how they spent their day and had access to a range of activities across the week. One relative told us, “I know she has a good social life here, as she often isn’t in her room when I phone her and that’s a good sign”. People and relatives knew how to make a complaint and told us they felt listened to and had confidence that the manager and staff would act.

People and staff spoke positively about the culture of the home. There were clear lines of accountability and the provider continued to have effective quality assurance processes in place. People told us they thought the service was well managed. One person told us, “My daughter comes every day at different times, and she is always made welcome.”

More information is in Detailed Findings below.

Rating at last inspection: Good (report published 19 May 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service continues to be rated Good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.