Windsor Care Centre

Inspectors saw enough staff on duty and said people received help promptly. Recruitment checks had also improved.

“On the day of the inspection, we saw there were enough staff on duty to meet people's needs.” from the report

People said they felt safe. Staff knew how to report concerns and safeguarding training was up to date.

“People were supported by staff that knew how to raise safeguarding concerns.” from the report

People were offered meal choices and could change their mind. Staff supported people with food and drinks in a dignified way.

“Throughout the inspection we saw people were supported with nutrition and hydration in a dignified way.” from the report

Communication from the management team had improved. Staff said they felt supported and able to raise concerns.

“Staff felt empowered to speak up and call out poor practice.” from the report

Systems did not always ensure medicines continued when people temporarily left the home. Guidance and records for PRN medicines were incomplete, and the legal process for some covert medicines had not been fully followed.

“Where people temporarily left the home, the provider did not have systems in place to ensure the continuity of medicines administration.” from the report

Fire drill records did not consistently show who attended, what they did or what action was needed. A faulty emergency lighting issue was recorded without remedial action.

“The provider's auditing systems were not used effectively to manage fire risks and we identified some missed opportunities where learning could have occurred.” from the report

There was no process to check that pressure mattresses were set correctly. Inspectors found one mattress set at a much higher weight than the person's actual weight.

“There was no process in place to ensure mattress settings were checked and correct.” from the report

Audits did not identify all the problems found during the inspection. Some records contained conflicting or incorrect information, including risk assessments.

“Audits of medicines management and care plans were still not fully effective.” from the report