Wisteria Care achieved an overall Good rating at its May 2018 inspection, with staff praised for exceptional compassion and person-centred practice. The single Requires Improvement rating in Safe reflects inconsistent medication administration records, including gaps in MAR charts and under-recording of prescribed nutritional drinks, which posed a risk of malnutrition for at least one person.
Concerns (3)
critical
Medication management
: “staff told us one person should have three drinks per day, yet on the MAR only one or two drinks had been signed for as given...increasing possible risk of malnutrition”
moderateMedication management: “We identified gaps on the MAR [Medication Administration Records] for both prescribed medicines and creams. We looked at four records for medicines and creams, three of the records contained gaps”
moderateRecord keeping: “Improvement were still required as the records remained inconsistent at the time of our inspection”
Strengths
· People felt safe and trusted staff; relatives reported peace of mind and high satisfaction with the caring approach of staff
· Staff went above and beyond, including walking 10 miles in bad weather to ensure people received care
· Comprehensive induction programme covering safeguarding, moving and handling, medication, dementia, and care certificate completion
· Staff received regular supervision, annual appraisals, and unannounced spot checks to ensure competent practice
· Person-centred care plans developed collaboratively with people, families, and health professionals, reviewed at least six-monthly