Withins (Breightmet) Limited

Updated 29 February 2024

The assessment was carried out between 7 March 2024 to 21 March 2024. Withins (Breightmet) Limited is a residential care home providing personal care for up to 65 people in one purpose-built building over three floors, including autistic people and people with a learning disability. We carried out this assessment to review the service's response to a safeguarding incident and concerns we had received around infection prevention and control and staffing. The inspection was also prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this assessment did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of environmental risks. We received positive feedback from people living at the service. People spoke positively about staff and the help and support they received. Medicines administration was not always managed in line with best practice. At the last inspection at this service we identified some concerns around the safe management of medicines. During this assessment we found similar concerns around 'as required' medication . We found that all prescribed medicines were not being offered to people as prescribed. This should have been discussed with the GP when there were concerns that the medicines were not required. This had not been done. Following the assessment, staff contacted the GP to review if these medicines were still required. We found the service had acted appropriately in response to the safeguarding concern raised. Care plans did not always contain sufficient information to support people with their individual risks and clearly guide staff on how they would like to be supported. There continues to be a breach of regulation in relation to medicines.

Updated 29 February 2024

People spoke positively about the care and support they received at the service. People told us they felt safe due to care provided by staff. People told us they felt involved in their care and managing their risks as staff discussed their care with them on a regular basis. Some people told us they had not seen their care plan but felt that they and their families were involved in their care planning. One person told us, "My opinion is always asked. This makes me feel in control of my life". People told us they felt safe in their environments at the service. One person told us it is a "good, safe, warm environment." People gave very positive feedback about the staff and the support they provided. One person told us, " They are tremendous. Nothing is too much trouble." People told us they thought the service was clean and that staff took appropriate action to reduce the risk of the spread of infection when there are any outbreaks. People told us they felt staff managed their medicines safely and felt that this was something they didn't have to worry about. Relatives of people living at the service told us they could visit the service at any time and were always made to feel welcome. Relatives told us they felt involved in their relative's care and were reassured by the support which staff provided. Relatives told us the home was always clean and they felt that staff were well trained to support people and their needs.