Wraxall Road Nursing Home

Updated 6 November 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC's response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 21 October 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 6 November 2020

About the service

Wraxall Road is a residential care home providing personal and nursing care for 14 people. People who live at the home have learning and physical disabilities. There were 13 people accommodated at the time of the inspection.

The home met many of the characteristics that underpin the Registering the Right Support and other best practice guidance. However, it was registered prior to this guidance being implemented and is a larger home than meets current best practice.

The size of the service having a negative impact on people was mitigated by the building design. The home was divided into two houses. There were deliberately no identifying signs outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service and what we found

The values set out in the Registering the Right Support include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. These values were very much part of life at Wraxall Road.

People living at Wraxall Road had complex needs and some were unable to communicate verbally. Staff continued to provide people with daily choices on what they wanted to eat, wear and choice in respect of activities. Staff knew people extremely well and were responsive to changes in body language, gestures and their nonverbal communication. Staff were very caring and provided people with care tailored to their needs promoting their rights to an ordinary life.

People were receiving care that was responsive and effective and tailored to their needs. Care plans were in place that described how each person would like to be supported. Improvements had been made and now all information was accessible to staff in one central folder. This enabled them to get a full picture of how people would like to be supported. The registered manager had reviewed how staff recorded information to make it more streamlined and avoid duplication.

People had access to other health and social professionals. Safe systems were in place to ensure that people received their medicines as prescribed.

People were supported to take part in social activities in Wraxall Road and the community. Annual holidays were arranged for those people that wanted to go away.

People received safe care. Staff understood safeguarding procedures. Risk assessments were in place to reduce and manage risks within people’s lives. Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.

Staff were trained to support people effectively. Good communication was in place in the form of daily handovers, team meetings and one to one supervision.

The service was well led. There were suitable quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.

Rating at last inspection

Good (report published December 2016)

Why we inspected

This was a planned inspection based on the previous rating.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk