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Wheatsheaf Court Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 September 2019

About the service

Wheatsheaf Court is a care home providing personal and nursing care to people aged 65 and over. At the time of the inspection 28 were being supported.

The home can accommodate up to 55 people across three floors, two of which had their own communal areas for people to socialise.

People’s experience of using this service and what we found

Improvements had been made to the overall environment of the home and the provider had developed systems to oversee the quality and performance of the service. These needed to be embedded and sustained to ensure the service continued to improve and provide a good quality of life for people.

People's meal time experiences continued to need improving. Staff needed to be better deployed to support people who needed assistance at meal times effectively and in a timely way.

People needed to be placed consistently at the heart of the service and the systems and processes to support this needed to be maintained. Work on developing more person-centred care plans needed to be completed to enable and support the staff to deliver care meeting people’s desired preferences and needs.

Recruitment of staff and maintaining staffing levels needed to be sustained. Staff needed to have the time outside delivering basic care to spend time with people to support them with their social and emotional needs. Activities needed to be developed further to provide a stimulating environment and meet people’s individual needs.

Staff received the training they required and were supported to develop their skills and knowledge. The registered manager needed to ensure that staff consistently put in to practice the training they had around infection control and maintaining people’s dignity.

People were cared for by staff who were caring and showed empathy towards them. Relatives could see the improvements that had been made over the last several months and felt their loved ones were cared for safely and their health needs were being met.

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 this practice. Visitors were welcome at anytime and relatives were confident if they had any concerns these would be listened to and acted upon.

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

Rating at last inspection and update: The last rating for this service was Inadequate (published 26 February 2019) and there were multiple breaches of regulation. We placed positive conditions on the provider’s registration to provide monthly reports to the Care Quality Commission (CQC) to show what actions the service had taken to address the shortfalls found.

This service has been in Special Measures since February 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures. however, they do remain in in breach of one Regulation.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We have found evidence that the provider needs to make improvement. Please see the Effective section of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified a continued breach in relation to providing person-centred care at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerni

Inspection areas

Safe

Requires improvement

Updated 25 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 25 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 25 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 25 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 25 September 2019

The service was not always well-led.

Details are in our well-led findings below.