Wrottesley Park House Care Home

Updated 18 April 2020

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.

Inspection team

The inspection was conducted by two inspectors, a Specialist Nurse Advisor and an 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.

Service and service type

Wrottesley Park House 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. We sought feedback from the local authority, clinical commissioning group and professionals who work with the service. We also used feedback provided by Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and five relatives. We also spoke with six care staff, a physiotherapy assistant, a well-being co-ordinator, one nurse, one agency nurse, two staff members responsible for food preparation, the deputy manager, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at nine people’s care records, medicines records, complaints, health and safety and quality assurance records. We also looked at two staff recruitment records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records in relation to night time staffing levels.

Updated 18 April 2020

About the service

Wrottesley Park House Care Home is a residential care home providing personal and nursing care to 46 people at the time of the inspection. The service can support up to 63 adults with physical and learning disabilities. The home accommodates 63 people across four separate wings, each of which has separate adapted facilities. Three wings on the ground floor were occupied at the time of the inspection, the fourth wing, which was not in use, was located on the first floor of the home and accessed via a passenger lift.

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

We found staff had not always followed the provider’s own processes with regards to recording of medicines administration. Improvements were also needed to the way people’s medicines were stored.

We have made a recommendation about the management of some medicines.

People’s night time needs were not always met in a timely way, by sufficient numbers of staff.

People told us they felt safe. Staff had received training in protecting people from harm and knew how to escalate concerns for people’s safety. Risks were assessed and managed to reduce the risk of avoidable harm. Where incident had occurred, or things had gone wrong, learning and taken place to reduce the likelihood of reoccurrence.

People’s needs were assessed prior to them moving in to the home. Staff received training relevant to their role and had the skills and knowledge required to support people. People received enough to eat and drink and people’s individual dietary needs were met. People were supported to access healthcare services as required.

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 spoke positively about the care they received from staff. People were supported to make their own decisions where possible. The staff used their knowledge of people’s life histories and preferences, to ensure care provided with dignity and respect.

Improvements had been made to the range of activities available to people, and some people received positive one to one support. The provider acknowledged further improvements were required to ensure people’s well-being was promoted, as some people’s experience of meaningful occupation was, at times, limited. These improvements were underway at the time of the inspection.

People were now involved in the planning and review of their care. People’s communication needs were met and information was provided in a format people could understand. End of life care plans were in place which contained people’s wishes and preferences.

Improvements had been made since the last inspection. The registered manager and provider were open about their plans for the service and where improvements were needed. People, relatives and staff were asked for their feedback and this was used to drive improvements. The staff and management team now worked in partnership with other agencies and were open to learning from other providers and healthcare professionals.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 15 February 2019) and there was a breach of regulation. We issued the provider with a warning notice which required them to make improvements within a specified timescale. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.