Background to this inspection
Updated
22 July 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector and a member of the medicines team.
Service and service type
Wayfield Avenue is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We contacted the local authority for their feedback about the service.
During the inspection
During our visit we spoke with two people who used the service about their experience of care. We spoke with six members of staff including the registered manager, assistant manager and care staff. We observed administration of medicines at lunchtime as well as how people spent their time through the day. We spoke with a visiting professional.
We reviewed a range of records. This included 19 people’s medicine records and eight care records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found and reviewed further documents sent to us. We looked at training data and quality assurance records. We spoke by telephone with two people who use the service and we received written feedback from one person. We received feedback from two professionals who regularly visit the service.
Updated
22 July 2021
About the service
Wayfield Avenue Resource Centre is a residential care home providing personal and nursing care for people aged 40 and over who have a range of functional mental health needs. The service is run directly by Brighton and Hove City Council. The service can support up to 24 people and was providing long term and respite care to 19 people at the time of inspection.
Wayfield Avenue Resource Centre is in a purpose-built building over three floors. People’s bedrooms are located on the first and second floor and there is a short-term admissions unit. There were no people staying in the admissions unit at the time of inspection. Dining areas, kitchenettes and lounges are available on each floor and ground floor communal areas are shared by everyone. The service has gardens and a patio area to the rear of the building.
People’s experience of using this service and what we found
We found that medicines were not always managed safely throughout the home. Fridge temperatures for medicine storage were monitored but the range of high and low temperatures were not recorded. Medicine stock checks were carried out but were not always accurately recorded. During and following our visit the manager reviewed the issues we found and took steps to improve how medicines were stored and checked by staff. We have made a recommendation about the management of medicines.
People told us they felt safe from harm and well cared for by staff who understood their needs and were kind and supportive. People were involved in their assessment of needs and risks and knew the staff and managers supporting them. We observed staff speaking respectfully with people and to promote their independence by offering choices and seeking their views.
Infection prevention and control measures were in place to limit risks of infection and transmission around the building. A self-contained admissions unit had been created for people to stay in when they initially moved in. This followed current government guidance about supporting people to self-isolate on admission to care homes.
People had options to manage their own food and drink or have meals prepared for them by the service. Staff consulted people about menu planning and most people felt happy with the menu options. People knew about resident meetings and how to contact staff and managers if they had questions, requests or concerns. Some people wanted more opportunities to give feedback to the service.
People were supported to maintain important relationships and have contact with the health and social care professionals in their lives. People felt staff were good at communicating with other professionals. Feedback from staff and visiting professionals confirmed that there was effective and timely communication about changes in people’s needs and about their progress.
Staff were recruited safely and received supervision, training and support to carry out their roles with confidence. Incidents and accidents were reported by staff and investigated by managers to find ways to reduce incidents occurring again.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 (10 April 2018).
Why we inspected
We received concerns in relation to the medicine management and administration. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
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 remained good. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvements to how medicines are managed. Please see the safe section of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.