16 May 2023
During an inspection looking at part of the service
Wishingwell Residential Care Home provides accommodation and personal care for up to 4 older people who may be living with dementia. Accommodation is provided in an adapted house over 2 floors. At the time of our inspection there were 4 people using the service.
People’s experience of using this service and what we found
People had a very positive experience of using the service and consistently praised the care and support they received. However, there were wider risks and issues with how the service was managed which put them at increased risk of harm. Staff had not been safely recruited and they had not always completed appropriate and relevant training. Risks had not been thoroughly assessed and managed. This included risks in relation to fire safety, people’s mobility and use of the stairs, and the safe management and administration of medicines. The provider had not completed audits or checks so issues that put people at risk of harm had not been identified and addressed.
People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible; the policies and systems in the service did not support this practice.
We made a recommendation around monitoring people’s weight to ensure any issues around malnutrition could be identified and addressed in a timely way.
Despite these concerns people felt safe and well cared for. People praised how staff supported them, and relatives felt there was excellent communication, and that they were involved in all aspects of people’s care.
The home environment was clean and welcoming. Staff were friendly, kind and respectful.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was good (published 9 October 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions safe, effective and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wishingwell Residential Care Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We identified breaches in relation to the safety of the care, the recruitment of staff, consent and the provider’s oversight and governance arrangements at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We requested an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.