Archived: Wrottesley House

Updated 18 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.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

Wrottesley House is a ‘care home’. People in care homes receive accommodation and 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 care home accommodates up to 18 people in one adapted building.

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 completed on 01 March 2019 and was unannounced.

What we did:

As part of the inspection we reviewed the information we held about the service. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. We reviewed information that had been sent to us by the public. We used this information to help us plan our inspection.

During the inspection we spoke with seven people who used the service and two relatives. We spoke with the registered manager, the cook and four members of care staff. To help us understand the experiences of people we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people living at the service. We also carried out observations across the service regarding the quality of care people received. We reviewed records relating to people’s medicines, five people’s care records and records relating to the management of the service; including recruitment records, complaints and quality assurance records.

Updated 18 April 2019

About the service: Wrottesley House is a residential care home that provides accommodation and personal care for up to 18 older people. At the time of the inspection the service was providing care to 16 older people, most of whom were living with dementia.

People’s experience of using this service:

People were not supported by effective quality assurance and governance systems. The registered manager had not identified areas of risk and improvement required within the service. People’s feedback was sought although positive action was not always taken where improvements were suggested or concerns were raised.

People were not consistently supported in a dignified way. While some interactions were kind, caring and dignified this was not always the case and some improvements were needed. People were offered choices but at times these were limited.

People had access to a limited range of leisure opportunities and activities. People were involved in planning their care where they had capacity to do so. Some improvements were required where people lacked capacity to make decisions. The provider was not always following the requirements of the Mental Capacity Act 2005.

We also some people did not receive care that met their needs and issues and concerns had not been identified and addressed sufficiently. Other people’s needs were being met and risks were managed appropriately, however, this was not always consistent. We found risks were not always reviewed following accidents and incidents.

More information on our findings at this inspection are available in the full version of this report.

Rating at last inspection: At the last inspection completed 07 June 2016 we found the service to be good in all areas. The provider was meeting the requirements of the law.

Why we inspected: This inspection was a scheduled inspection based on the previous rating.

Enforcement: The provider was not meeting the requirements of the law around dignity and respect, the need for consent, safe care and treatment and good governance. Please see the action we have told the provider to take’ section towards the end of the report.

Follow up: We have met with the provider and they have been asked to send an action plan detailing how they will make the required improvements. We will check these improvements have been made at our next inspection.

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