Wulfrun Rose Nursing Home

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.

Wulfrun Rose Nursing Home is registered to provide accommodation with nursing and personal care for up to 67 older people including older people, people living with dementia, younger adults, people with sensory impairment and physical disabilities. The home caters for people who require, residential, nursing and respite care. On the day of the inspection there were 44 people living at the home.

There was a manager in post at the time of the inspection; they had not yet registered with us. However plans were in place for the application process to begin. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from potential abuse by staff that were trained and understood how to safeguard them. People had risks to their safety assessed and there were plans in place to reduce the risks which staff understood and followed. There were sufficient staff that had been recruited safely to support people when they needed it. People received support to have their medicines as prescribed. There were systems in place to learn from incidents and when things went wrong to avoid this happening again.

People had their needs assessed and were supported to meet them by trained well supported staff. People had their nutrition and hydration needs met and had an enjoyable meals experience with plenty of choice. The building was purpose built and designed to meet people’s needs. People were supported to access health professionals to maintain their health and wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and the policies and systems in the service supported this practice.

People had good relationships with staff and were supported in a kind, caring and compassionate manner. People made choices about their care and support and were involved in decision making. People were supported in a way which maintained their dignity and staff were respectful.

People had their preferences met and staff understood people’s needs. There were opportunities for people to follow their interests. People’s communication needs were considered and they had support to follow their religious beliefs. People had discussions about their preferences for care and support at the end of their life. People understood how to complain and complaints were responded to in line with the provider’s policy.

A manager was in post and people, relatives and staff found they were accessible. People and their relatives had an opportunity to have say in how the home was run. The manager had checks in place to assess the quality of the service people received and ensure the management of the service was effective. The manager had a vision for the service and plans in place to make continual improvements.

Wulfrun Rose Nursing Home is registered to provide accommodation with nursing and personal care for up to 67 older people including older people, people with dementia, younger adults, people with sensory impairment and people with physical disabilities. The home caters for people who require, residential, nursing and respite care. On the day of the inspection there were 37 people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found that the administration of medicines were not always recorded in accordance with manufacturer’s guidelines. People told us they felt safe and we found they were supported by staff who knew how to protect people from the risk of harm. People were supported by sufficient numbers of staff. Risks to people’s safety had been assessed and care and support was delivered in a way that kept people safe from harm. The provider had safe recruitment processes in place to reduce the risk of employing unsuitable staff.

People were asked for their consent before care and support was provided by staff. People’s capacity had been assessed and guidance was available for staff when supporting people in making choices and decisions. People were happy with the food and drink provided and there were systems in place to ensure people received adequate nutrition and hydration. People were supported by staff who felt they had received training to equip them to do their job. People had access to healthcare when they required it and people’s health needs were monitored by staff and any changes were identified and reported.

Most people told us staff were caring and kind. Staff knew people’s personal histories and understood their needs and preferences. People told us they were involved in decisions about their care. People were supported by staff in a way that maintained their dignity, however, people’s privacy was not always maintained.

People told us they would like to be involved in more activities and lacked mental stimulation. People and their relatives told us they were involved in their care planning. People knew how to complain if they were unhappy about the care they received and were confident the provider would listen to their concerns and take appropriate action.

Systems in place to monitor the quality of care provided were not always effective in identifying areas of concern or where improvements needed to be made. People, relatives and staff expressed their confidence in the registered manager. People and staff felt able to contribute to the development of the service and the registered manager demonstrated the skills and knowledge required for their role.