Wolston Grange

Staff knew people well and were described as kind and attentive. People spoke positively about the care and said they felt safe.

“People were supported by staff who knew them well and staff were kind and attentive.” from the report

Inspectors found enough staff to meet people's needs. Recruitment included checks such as references and DBS checks.

“There were enough staff on duty to support and meet people's needs.” from the report

The provider and manager had introduced more regular and structured checks. These produced action plans, and inspectors saw evidence that actions had been completed or were being progressed.

“Completed audits resulted in action plans and those actions were compiled onto a 'master' action plan for the registered manager to work from.” from the report

Staff supported people to access health services and followed advice about modified diets and choking risks. Care plans were updated when people's needs changed.

“People's needs were assessed and care and support was delivered in line with current standards to achieve effective outcomes.” from the report

A pain patch was not applied as directed, a controlled medicine was not accurately counted, and improvements were needed to labelling and discarding medicines. The manager said these matters were addressed after the visit.

“People were supported to receive their medicines in a way that was not always safe.” from the report

Some people's risks were better recorded than others. Inspectors said more guidance was needed for risks including diabetes, catheter care and fire safety for people who smoked or used electronic cigarettes.

“We found no evidence of harm to people, but risks to some people could be further reduced.” from the report

The provider was still updating or replacing fire doors and improving signs. The fire authority was being kept informed and the home had increased fire drills and fire warden training.

“The provider had timescales to make improvements to the fire safety of the home.” from the report

Most people enjoyed their meals, but some said there was not always a choice. Meal feedback was discussed at regular meetings.

“Most people told us they enjoyed their meals, some people said there was not always a choice.” from the report