17 February 2021
During an inspection looking at part of the service
About the service
Welby Croft is a residential care home providing personal and nursing care to 17 people aged 65 and over at the time of the inspection. The service can support up to 24 people.
The home is set across two floors, with bedrooms on both levels. There are communal spaces including a dining room. The garden offers a secure space with seating and there is a conservatory with views of the local area.
People’s experience of using this service and what we found
The provider used a range of audits and systems to monitor the service; however, these had not always identified areas which required improvement. Staff had received training in many areas, however recent training in relation to COVID-19 had not been done or training in relation to specific health conditions.
Risk assessment had not always been completed to cover all aspects of people’s care. These had not been reviewed or monitored to consider changes in the risk or how to reduce it.
People felt supported by kind and caring staff who had information to enable them to share their daily needs or life history. The care plans had been completed, however the provider told us they were making developments in this area to make these more person- centred. This was with the introduction of electronic care planning system.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
There was a relaxed atmosphere in the home and people enjoyed the lunchtime experience. Assistance was provided if required and there were many choices to promote people’s dietary needs.
People and relatives were consulted on aspects relating to the home and the care people received. The staff worked in partnership with health and social care professionals to support peoples ongoing needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection The last rating for this service was Good (published 12 January 2019)
Why we inspected
The inspection was prompted in part due to concerns received about infection control and managing risks. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe and welled sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Welby Croft Residential home on our website at www.cqc.org.uk.