The Care Quality Commission
  • Care Home
  • Care home

Archived: Wyndthorpe Gardens Care Home

Overall: Good read more about inspection ratings

High Street, Dunsville, Doncaster, South Yorkshire, DN7 4DB (01302) 888141

Provided and run by:
Four Seasons Homes No. 6 Limited

All Inspections

17 November 2015

During a routine inspection

We carried out an unannounced comprehensive inspection of this service on 21 and 23 October 2014 and found breaches of legal requirements. This was because the provider had not effectively assessed and monitored the quality of the service, worked within the legal requirements of the Mental Capacity Act 2005 and the Code of Practice, identified and responded to complaints and there were not always sufficient numbers of staff.

We inspected Wyndthorpe Gardens on 17and 18 November 2015 to check that they had followed their improvement plan and to confirm that they now met all of the legal requirements. The inspection was unannounced. Our inspection found that improvements have been made to meet the relevant requirements.

Wyndthorpe Gardens Care Home is a two storey care home situated in Dunsville, Doncaster and is registered to provide services for 38 older people. There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used this service were safe. The care staff knew how to identify if a person may be at risk of harm and the action to take if they had concerns about a

person’s safety.

The care staff knew the people they were supporting and the choices they had made about their care and their lives. People who used the service, and those who were

important to them, were included in planning and agreeing to the care provided.

The decisions people made were respected. People were supported to maintain their independence and control over their lives. People received care from a team of staff who they knew and who knew them. People were treated with kindness and respect.

The registered manager used safe recruitment systems to ensure that new staff were only employed if they were suitable to work with vulnerable people. The staff employed by the service were aware of their responsibility to protect people from harm or abuse. They told us they would be confident reporting any concerns to a senior person in the service or to the local authority or CQC.

There were sufficient staff, with appropriate experience, training and skills to meet people’s needs. The service was well managed and took appropriate action if

expected standards were not met. This ensured people received a safe service that promoted their rights and independence.

Staff were well supported through a system of induction, training, supervision, appraisal and professional development. There was a positive culture within the service which was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to maintain their independence.

The service was well-led. There was a comprehensive, formal quality assurance process in place. This meant that all aspects of the service were formally monitored to

ensure good care was provided and planned improvements and changes could be implemented in a timely manner.

There were good systems in place for care staff or others to raise any concerns with the registered manager.

21 and 23 October 2014

During a routine inspection

Wyndthorpe Gardens Care Home is a two storey care home situated in Dunsville, Doncaster and provides a service for 38 older people. There were 34 people living at the home when we visited. We carried out a routine inspection of the service in August 2013 and did not identify any concerns.

This inspection took place on 21 and 23 October 2014 and was unannounced. The first day of the inspection was unannounced. This meant that the provider did not know when we were inspecting the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received contradictory information and opinions from people and their relatives about the service. While everyone said they were very happy with the service, particularly with the caring attitude of the staff, some also raised a number of concerns. In addition, our own observations and the records we looked at did not always match the positive descriptions some people gave us.

We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 in that there were not always sufficient numbers of skilled and experienced staff to meet people’s needs. Staff we spoke with told us it was difficult to meet everyone’s needs at key times, such as mealtimes. They said the number of agency staff used added to the pressure they were under. We saw people left unattended who displayed behaviours that challenged others. These issues indicated that the service had not been well led as there was not always evidence that the provider effectively assessed and monitored the quality of service provided. You can see what action we told the provider to take at the back of the full version of the report.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. Although we saw information that best interest meetings had taken place for some people who lacked the capacity to make decisions, this was not the case for all important decisions made on behalf of people who did not have the capacity to decide for themselves. There were not always evidence that staff worked within the Mental Capacity Act 2005 Code of Practice.

Although people told us about activities they had enjoyed, during the time of our inspection there were not enough meaningful activities for people, either as a group or to meet their individual needs.

People’s relatives expressed concern about the laundry arrangements and that people’s beds were not made until the afternoon. The registered manager had not been consistent in how they had recorded and responded to people’s complaints and the process for monitoring the quality of care was not effective; as it had not picked up some of the problems we found, so had not led to the necessary improvements being made.

People’s health care needs were assessed and they had good access to healthcare services, such as GPs and district nurses and we found that medicines were managed safely. Most people enjoyed the food and they spoke very highly of the care staff.

Staff were recruited in a safe way and understood their role in safeguarding people from abuse. They were seen to be caring in their approach and treated people with respect.

6 August 2013

During a routine inspection

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. One person who used the service told us: "The staff never do anything without asking me first."

We spoke with four staff and with seven people who used the service. They told us the care and treatment in the home was good. One person spoke very positively about the home, they told us: 'All the girls are lovely and the food is lovely too.' Another person told us: 'This place is very nice.' We found people experienced care, treatment and support that met their needs and protected their rights.

There were enough qualified, skilled and experienced staff to meet people's needs. One staff member told us: "It's always busy but there are enough staff to make sure people are never rushed.'

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

We found that people's personal records were accurate and fit for purpose. Staff records and other records relevant to the management of the services were also accurate and fit for purpose.

17 December 2012

During an inspection looking at part of the service

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

We talked with several people about being safe. They said they felt safe in their home and would tell staff if they were unhappy. Staff talked confidently about what constituted abuse and were aware of what signs and indications they might come across when working with people they supported.

People were not protected from the risk of infection because appropriate guidance had not been followed. People were not cared for in a clean, hygienic environment.

13 February 2012

During a routine inspection

People who used the service told us they were happy with the care provided. One person told us they were able to choose what they wanted to do each day and decide if they wanted to join in the activities. Another person told us they could choose what time they got up and went to bed. One person we spoke with told us they had not read their care plan but that was their choice.

We spoke with two relatives during our inspection who told us they had been involved in the development of their relative's care plan. They also told us they were able to make changes and contribute to their relative's care if they wished. They told us their relative's dignity was respected and confidentiality was always maintained.

We spoke with two relatives who told us they were happy with the care and their family member was well looked after. The two relatives we spoke with told us that the staff understood the care needs of their family member. They also told us they were contacted by the home straight away if their family member required any treatment.

People who used the service told us that they felt safe at the home and they would tell staff or the manager if they were worried about anything. We spoke with two relatives who confirmed they would talk to the manager if they had any concerns. Both relatives told us their relative felt safe.