Background to this inspection
Updated
19 March 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 team consisted of two inspectors and two assistant inspectors.
Service and service type
Wulfrun Rose Nursing Home 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
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We gathered feedback from the local authority and the local safeguarding team. 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 used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and two relatives about their experience of the care provided. We spoke with nine members of staff including, care staff, the registered nurse, the activities coordinator, the deputy and registered manager.
We reviewed a range of records. This included nine people’s care records. We also looked at records relating to the management of the service, including procedures and governance records.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We continued to speak with staff and relatives.
Updated
19 March 2021
About the service
Wulfrun Rose nursing home is as nursing home providing personal and nursing care to 59 people. The service can support up to 67 people.
People's experience of using this service and what we found
The quality checks completed in the home were not always effective in identifying areas where improvements were required. Guidance for as required medicines was not always in place or reflective of how this medicine was prescribed. Staff, relatives and people felt there were not always enough staff and some people had to wait for support. Infection control guidance was not always fully followed to reduce the risk of cross contamination.
People felt safe living at the home. Risks to people were considered and lessons learnt when things went wrong. Oral medicines were administered as prescribed.
People and relatives spoke positively about the home and the care they received. Feedback was sought from people who used the service and was used to make changes.
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 (12 January 2018).
Why we inspected
We received concerns in relation to the quality of care people received. As a result, we undertook a focused inspection to review the key questions of safe 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 changed from good to requires improvement. This is based on the findings at this inspection.
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 coronavirus and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.
We have identified breaches in relation to the governance of the home.
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.