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Wythall Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 June 2019

About the service: Wythall Residential Home accommodates a maximum of 22 older people in one adapted building. At the time of our visit 18 people lived at the home. Some of those people lived with dementia and one person was in hospital. The home is located in Wythall, Worcestershire.

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

People's experience of using this service:

• People felt safe but the provider’s procedures to protect people from harm had not always been followed.

• People’s care was not consistently provided in line with the Mental Capacity Act 2005 (MCA). Action was taken to address this.

• The provider and registered manager had not met their regulatory responsibility to inform us about significant events that happened at the home.

• Risks to people’s health and wellbeing had been assessed. Action was being taken to ensure staff followed risk management plans.

• The provider’s quality audits and checks were not always effective.

• People spoke positively about how staff administered their medicines. However, the administration of prescribed creams required improvement.

• Staff knew people well and were available when people needed them.

• Staff were recruited safely and completed the training they needed to be effective in their roles.

• The home was clean, and the environment met people’s needs.

• Feedback from people and staff was encouraged. People were happy with the service they received.

• Prior to moving into the home people's needs were assessed to ensure they could be met by the service.

• Most people had been involved in making decisions about their care.

• Care plans contained information to help staff understand how to support people according to their needs and preference.

• People's end of life wishes were recorded.

• Staff communicated effectively with people and people received information in a way they could understand.

• Staff respected people's right to privacy and supported people to be independent.

• People had mixed views about the social activities provided.

• People had access to healthcare professionals and their nutritional needs were met.

• Complaints were managed in line with the provider's procedure.

• The staff culture in the home required improvement. Action was being taken to address this.

• The management team welcomed our feedback and assured they were committed to driving forward improvement to benefit people.

• At this inspection we found the evidence supported a rating of 'Requires Improvement ' overall.

We reported that the registered provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were:

Regulation 13 Regulated Activities Regulations 2014 –Safeguarding service users from abuse and improper treatment.

Regulation 17 Regulated Activities Regulations 2014 Good governance.

Regulation 18 of the Care Quality Commission Registration Regulations 2009. Notifications of other incidents.

Rating at last inspection: Good (report published December 2017.)

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

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 8 June 2019

The service was not always Safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 8 June 2019

The service was not always Effective.

Details are in our Effective findings below.

Caring

Good

Updated 8 June 2019

The service was Caring.

Details are in our Caring findings below.

Responsive

Good

Updated 8 June 2019

The service was Responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 8 June 2019

The service was not always Well-led.

Details are in our Well-led findings below.