Widecombe Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We identified 1 breach of the legal regulations in relation to person centred care. People’s views and wishes were not always considered. Where people lacked mental capacity to make decisions, the provider failed to ensure mental capacity assessments were completed to ensure people’s existing wishes had been considered.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Relatives were involved in regular reviews of people’s care. A relative told us, “I was involved in her care plan initially and we had a review meeting a few weeks ago” and “I like to be involved and always ask questions if I need to.”

Staff told us peoples needs were assessed and reviewed regularly. Staff told us they would report any changes to the nursing team who would update care plans with any changes.

The provider did not always assess peoples needs before they moved into the service. For example, one person had recently moved into the service. Assessment forms were available, however these were not used, instead the provider relied on the assessment completed by hospital staff and had not visited the person in hospital to confirm their care needs. Where the provider had completed assessments to measure risk, these did not always result in preventive measures taking place. We identified skin integrity assessments where risk was high, care plans did not contain information about how this risk was reduced.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People we spoke to told us their views and wishes were not always considered, for example, one person told us, “I have had to learn to be washed by both men and women and this has not been easy. I have only had 3 showers since I lived here.” A relative also said, “Mum doesn’t like the fact that men give her personal care. I have asked but the way the teams are set up she would have to wait until the very end before she got seen to.”

Staff told us they received training about mental capacity. The registered manager told us shortfalls had been identified with staff completing mental capacity assessments and they had arranged further training for key staff in this area.

Care plans did not always include clear information about people’s mental capacity. Where care plans indicated a person lacked capacity to make some decisions, mental capacity assessments had not always been completed. This meant people were not always fully involved in decisions made on their behalf. Where required, the provider had applied for deprivation of liberty authorisations