Wellington Hall Care Centre

Inspectors saw staff responding kindly and patiently. People and relatives said staff were caring, respectful and protective of dignity.

“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report

Staff understood people's health, communication and support needs. Care plans included individual approaches and choices.

“Staff were trained and knew people well. Staff could tell us about the risks and support people required.” from the report

Inspectors found that trained staff managed medicines safely and that people received them at the right time.

“Medicines were managed safely by suitably trained staff. People received their medicines at the right time and medicines were reviewed regularly.” from the report

Communication plans recorded people's preferred methods. Staff understood how to support people to express themselves.

“People's individual communication plans detailed effective and preferred methods of communication, including approaches to use for different situations.” from the report

The home worked with health and social care professionals and followed their advice and recommendations.

“Records reviewed confirmed collaboration with health and social care professionals and showed the registered manager welcomed their views and advice.” from the report

There were not always enough staff to supervise people safely at night in one unit. The provider obtained additional night staff during the inspection.

“There was not always enough staff available to supervise people safely at night, this placed people at risk of harm.” from the report

Incidents involving distressed behaviour were recorded but did not always lead to a debrief or analysis. This meant staff and people were not always supported and lessons could be missed.

“Incidents involving distressed behaviours were not always followed up. Whilst these incidents were recorded on daily behavioural reports, there was often no debrief to the staff and people involved.” from the report

The systems for monitoring incidents and staffing were not robust enough. This was a breach of Regulation 17.

“We found no evidence people had been harmed. However, systems were either not in place or robust enough to demonstrate effective management to ensure risk monitoring.” from the report

Staff said they sometimes struggled to meet people's preferences when requested because of low staffing. Feedback about the range of activities was mixed.

“People received personalised care, although staff told us they sometimes struggled to meet people's preferences at the time of asking due to low staffing numbers.” from the report