Windsor Court Residential Home - PAMMS Assessment Report

Care plans were completed to a good standard, they were person centred, with good detail on resident likes, dislikes, and preferences. There was good evidence of consideration of the resident's preferences and good detail was given on specific needs, level of independence, and behavioural triggers. Resident and family involvement was evidenced in care plans. Care plans and risk assessments were reviewed regularly and there was also evidence of plans being updated timely where changes were necessary. An accessible format form was seen in place detailing resident preferences on how staff should communicate with residents. Life histories and about me information was in place.

There was a good activities timetable in place, the home is part of the Local Authority  activities group and takes part in the monthly Elm Tree Social Club shared timetable. Risk assessments are in place for each activity, evidenced as being renewed annually. Activity logs are kept for each activity that takes place with specific resident information on what they can take part in and their preferences involvement. Monthly logs are kept of all activities that take place, including family visits and events. Activities were varied and included singers, walks to the park, quiz games, armchair exercises and garden parties with families.

Throughout the assessment staff were observed asking for consent from residents often. Time was given to residents to respond and staff were patient though also well-versed in reading non-verbal cues. Staff spoke to residents throughout delivering care, explaining what they were doing, what they would do next and checking they were okay. Residents spoke of how polite staff were, how kind they are and how they always knock on bedroom doors and check on them.

Staff had training on Mental Capacity Act, safeguarding, and Deprivation of Liberty, which was refreshed annually. Staff were able to give explanations for each and their purpose. Infection control practices around the home were good, staff explained the processes the home has in place to prevent the spread of infection, good hand hygiene practices were seen, staff wore suitable personal protective equipment and were bare below the elbow with hair tied back.

Medication observations were completed to a good standard. The medication room and medication trolley were both locked when not in use. The medication room was found to be clean, tidy and well organised, and medications were stored suitably. Medication Administration Records had no gaps or missed signatures and were completed using the correct administration codes. Front covers and protocols for medications taken as and when required were both in place to a good standard. Care plans explain how residents prefer to take medications if they can do this for themselves or prefer support. Medication audits are completed monthly and competencies are completed in line with contractual requirements.

The home has adapted to be dementia friendly, clear signposting with consideration to residents with dementia is used and all staff have completed the Dementia Friends accreditation. Bedrooms are personalised with items from home.

The home was well-kept, clean and tidy. Appropriate environment risk assessments are in place, were seen to be reviewed annually and all were in date at the time of assessment. A range of robust internal audits take place regularly with evidence of good managerial oversight. All appropriate servicing certification was in date at time of assessment. Staff supervisions were seen to be completed bi-monthly alongside an annual appraisal. Staff said management are supportive and feel there is an improvement in management listening to feedback. Regular staff and resident and family meetings take place, as well as annual staff and resident surveys, and the home evidenced a good feedback structure.