Wilton House Nursing Home

Updated 15 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors 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

Wilton House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Wilton House Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch, and professionals who work with the service. 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 all this information to plan our inspection.

During the inspection

We spoke with 4 people who use the service and 3 family members. We spoke with 13 members of staff including the registered manager, nursing staff, care staff and housekeeping staff.

We reviewed a range of records. This included 4 people’s care records and multiple medication records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the manager to validate evidence found.

Updated 15 December 2023

About the service

Wilton House Nursing Home is a residential care home providing personal and nursing care to up to 37 people. The service provides support to older people some of whom are living with dementia. At the time of our inspection there were 32 people using the service.

People’s experience of the service and what we found:

People and their relatives spoke positively about the care and support they received. Comments included, “Everything about this place is lovely. The room is lovely, staff are very good and so is the food. We’re just very glad that someone recommended this place to us.” and “I’ve been here a few years and it’s excellent here. Staff are very good.”

Risks to people’s safety had been assessed and plans put in place to support staff to keep people safe. There were processes in place to safeguard people and protect them from harm and abuse. People received their medicines safely.

There were sufficient staff to meet people’s needs. The service followed safe recruitment practices to ensure people were supported by knowledgeable and skilled staff, who were of good character.

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.

There were systems in place to monitor the quality of the service and actions were taken to ensure improvements were identified and actioned. There was a positive and open culture and people and staff felt listened to by management. The service worked in partnership with other health and social care professionals to ensure people’s needs were met.

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. Date of publication: 29 June 2018.

Why we inspected

The inspection was prompted in part due to concerns received about staffing. 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.

Follow Up

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