All inspections: Weymouth Manor - Care Quality Commission

Weymouth Manor is a care home registered to provide accommodation for persons who require nursing or personal care. We undertook an assessment of Weymouth Manor between 8 August 2024 to 29 August 2024 in response to concerns we had received about events that may impact on the safe running of the service including safe staffing. At the time of our inspection 34 people were living at Weymouth Manor. The assessment included onsite inspections of the home on 8, 12 and 17 August 2024 and these were unannounced. The inspection team consisted of 2 inspectors. We found 1 continued breach of regulation in relation to Good Governance. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. The provider had either not established governance systems, or systems and processes were not robust to identify the shortfalls we found during our inspection. The management team had worked to stabilise the home since our last inspection in June. Staff told us they felt supported by the management team and were positive about the changes that had been implemented however, felt they were not valued by the provider, and this had impacted on their wellbeing. We observed enough staff to meet the needs of the people living at Weymouth Manor however, staff had not always been able to meet the needs of people in a timely way. People were observed to appear comfortable and relaxed around the staff who supported them. We observed kind, friendly and respectful interactions between staff and people. People told us staff were kind and caring.

Weymouth Manor is a care home registered to provide accommodation for persons who require nursing or personal care. We undertook an assessment of Weymouth Manor between 4 June 2024 – 24 June 2024 in response to concerns we had received about the governance of the service. At the time of our inspection 48 people were living at Weymouth Manor. The assessment included an onsite inspection of the service on 5 and 6 June 2024 and was unannounced. The inspection team consisted of 3 inspectors, 1 specialist advisor who was a nurse and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. We found two breaches of the legal regulations in relation to safe care and treatment and governance. Assessments of people’s health, safety and welfare had not always been effective at identifying when people were at risk of harm. Systems and processes to keep people safe in the environment they lived were not always robust, and medicines had not always been managed safely. Governance systems and processes had either not been established or were not robust to identify the shortfalls we identified during our inspection. Staff were not always clear on their roles and what was expected of them and were not clear about the current direction of the home. The culture was in a period of transition with many staff feeling despondent due to amount of change in a short period of time. During our assessment we found this improved with better communication from the interim manager and by the end of our assessment, staff and people were feeling more settled. Healthcare professionals told us the staff were kind and caring. However, improvements were needed in the daily observations and recording of people’s notes to ensure better clinical judgements could be made. Staff were passionate about providing quality care to people and treated people with dignity and respect.

Weymouth Manor is a care home with nursing which provides care and support for up to 66 mainly older people. People at Weymouth Manor had physical health needs and or were living with dementia. At the time of this inspection there were 32 people living at Weymouth Manor.

Weymouth Manor is a new purpose-built home in a residential area of Weymouth. Accommodation is over three floors with a range of communal facilities and a secure garden area.

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

People felt safe at the service and both people and relatives expressed their confidence in the whole staff team. Comments included, “If I was to recommend Weymouth Manor I would say you can’t go wrong, they care. If I was to go anywhere it would be there.” And “The management team always stop and chat with us. They go round and talk to every resident to make sure everything is ok. The ethos starts at the top and goes all the way through.”

Staff were clear about how to safeguard people from avoidable harm and safeguarding concerns were referred and investigated appropriately. People received their medicines safely. Infection control processes protected people from the risk of infection. Accident and incidents were managed safely. The registered manager had robust oversight of accidents and incidents and used this information to drive service improvements.

There were sufficient staff to meet people’s needs and provide appropriate care and support. Safe recruitment practices were followed, and staff were suitably trained and supported to enable them to understand and meet people’s needs.

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.

People’s health and wellbeing was monitored, and people benefitted from the good working relationships established with health and social care professionals. People enjoyed mealtimes and were supported to meet their nutritional needs. People told us they received a varied and balanced diet in line with their personal choices.

People were supported in a respectful and dignified way; their privacy was respected and their independence was promoted. Meaningful activities and events were provided for people to take part in, both individually and in groups, and they were supported to maintain relationships with the people that mattered to them.

People and relatives described a welcoming and friendly environment and visitors said they always received a warm welcome.

People, relatives and staff felt safe to raise any concerns or complaints with the registered manager and senior team.

The provider and registered manager monitored the quality and safety of the service and identified areas which could be improved.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Last rating and update

This service was registered with us on 14 December 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the care people received. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and responsive sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Weymouth Manor

All Inspections

During an assessment under our new approach

During an assessment under our new approach

6 July 2023

During a routine inspection