About the service: Wainfleet Care Home is registered to provide accommodation and personal care for up to 43 people. At the time of inspection, 38 people were using the service.

People’s experience of using this service: People continued to receive safe care. Staff understood safeguarding procedures that should be followed to report abuse and incidents of concern. Risk assessments were in place to manage risks within people’s lives, whilst also promoting their independence.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out. Staffing support matched the level of assessed needs within the service during our inspection.

Staff training was provided to ensure they had the skills, knowledge and support required to perform their roles. Specialist training was provided to make sure that people’s needs were met and they were supported effectively.

Staff were well supported by the registered manager, and had regular one to one supervisions. The staff we spoke with were all positive about the senior staff and management in place.

People's consent was gained before any care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice

Staff treated people with kindness, dignity and respect and spent time getting to know them. Care plans reflected people’s likes and dislikes, and staff spoke with people in a friendly manner.

People were involved in their own care planning and were able to contribute to the way in which they were supported. People and their families were involved in reviewing their care and making any necessary changes.

A process was in place which ensured people could raise any complaints or concerns. Concerns were acted upon promptly and lessons were learned through positive communication.

The service continued to be well managed. The provider had systems in place to monitor the quality of the service. Actions were taken and improvements were made when required.

Rating at last inspection: Good (report published 14/04/2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

We inspected Wainfleet Care Home on 10 February 2016. The inspection was unannounced.

Wainfleet Care Home located in the market town of Wainfleet in Lincolnshire and is owned by Knightingale Care Limited. It can accommodate up to 43 people and provides care and support for older and younger adults, some of whom may experience needs related to dementia. The service does not provide nursing care. During the inspection 36 people were living in the home.

There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered

necessary to restrict their freedom in some way to protect themselves. At the time of the inspection 12 people had their freedom restricted and the provider had acted in accordance with the Mental Capacity Act, 2005 DoLS.

People were supported to stay safe by staff who knew how to recognise and report any concerns. They were assured that staff were suitable to work in the home because the provider carried out background checks before offering employment. There were enough staff employed to ensure people’s needs were met in a timely manner.

Arrangements were in place to ensure people received their medicines in the way they had been prescribed. People benefitted from access to appropriate healthcare and they were supported to eat and drink enough to stay well.

Staff understood people’s needs and preferences and were trained to provide the care which met their individual needs. People were supported to make choices and decisions for themselves wherever they could and staff understood how to appropriately support those people who could not do so. People were involved in planning the care they wanted and those who were important to them were also consulted.

People were treated with care and kindness. They were supported to enjoy a good social life which included being a part of the local community. They and their relatives were able to express their views and opinions about the services they received. There was a system in place for managing complaints and people and their relatives knew how to use the system.

The registered manager ensured the quality assurance systems were effectively used to help identify any shortfalls and improve the care and support people received. The registered manager ensured staff had appropriate support systems in place to help them carry out their roles effectively.