Winterton House

Care did not always meet need or reflect people's preferences. Care or treatment was not always designed with a view to achieving service users' preferences and ensuring their needs were met.

People were not always protected from abuse and improper treatment. Systems and processes were not established and operated effectively to prevent abuse of service users. People were deprived of their liberty for the purpose of receiving care or treatment without lawful authority.

There must be displayed at each premises from which the service provider provides a regulated activities at least one sign showing the most recent rating by the Commission that relates to the service providers performance at those premises.

Care was not always provided in a safe way. The registered person did not ensure risks to the health and safety of service users were assessed. They did not do all that was reasonably practicable to mitigate any such risks. The premises used by the service provider were not always safe to use for their intended purpose. The equipment used by the service provider for providing care or treatment to service users was not always safe for such use as it was dirty and in need of repair. Medicines were not managed safely. The risk of, and preventing, detecting and controlling the spread of, infections, including those that are health care associated was not always assessed.

Systems or processes were not established and operated effectively. Systems or processes did not enable the registered person to assess, monitor and improve the quality and safety of the services provided in the carrying on of the regulated activity. The risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity were not always assessed, monitored and mitigated. Records were not always maintained securely or an accurate, complete and contemporaneous record in respect of each service user, including a record of the care and treatment provided to the service user and of decisions taken in relation to the care and treatment provided. Other records as are necessary to be kept in relation to the management of the regulated activity were not always securely maintained. The registered manger did not always seek and act on feedback from relevant persons and other persons on the services provided in the carrying on of the regulated activity, for the purposes of continually evaluating and improving such services;

Staff did not always have sufficient skills and knowledge to enable them to support people living with dementia. Persons employed by the service provider in the provision of a regulated activity did not receive appropriate support, training, professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform. They were not always enabled where appropriate to obtain further qualifications appropriate to the work they perform.