Background to this inspection
Updated
19 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Service and service type:
Watlington and District Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Watlington and District Nursing Home accommodates up to 60 people in one adapted building.
One unit specialises in providing care to people living with dementia. One unit provides support for people leaving hospital.
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.
What we did:
Prior to the inspection we looked at information we held about the service. This included previous inspection reports and statutory notifications. Notifications are specific events the provider must notify CQC about by law. We also asked the provider to complete a Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection we spoke with five people and five relatives to ask about their experience of the care provided. We also spoke with two visiting health professionals. We spoke with three nurses, four members of care staff, the registered manager, the deputy manager, the chef and the activity coordinator.
We looked at seven people’s care files and other records relating to the management of the service. We observed care practice and used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
19 April 2019
About the service:
Watlington and District Nursing Home is a care home that was providing personal and nursing care to 55 people aged 65 and over at the time of the inspection.
People’s experience of using this service:
There was an extremely cheerful and welcoming atmosphere in the service. People were recognised as individuals and were supported by staff who valued people for their uniqueness. People were encouraged to be as independent as possible and staff went to exceptional lengths to ensure people achieved their chosen outcomes.
People enjoyed a wide range of activities that were individual and others that involved relatives, visitors and staff. It was clear from photographs and feedback that these were wonderful events and promoted strong, meaningful relationships.
The management team were totally committed to providing a high-quality service that valued and respected everyone. The registered manager was dedicated to their role and demonstrated the values of the service at all times. Feedback was overwhelmingly positive about the management team and staff.
Staff were extremely well supported and showed great dedication to people, relatives and other staff. This created a service with a ‘family’ atmosphere which was commented on in the feedback we received and our observations during the inspection.
There were systems in place to ensure people were supported in a way that kept them safe whilst recognising their rights to choice and control.
People and relatives were complimentary about the food they received and enjoyed a wide variety of menu choices to meet their individual needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The service met the characteristics of Outstanding in Responsive and Well Led and Good in Safe, Effective and Caring.
Rating at last inspection: Good. Comprehensive inspection report published 9 August 2016. Focused inspection report published13 March 2017.
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Outstanding.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk