Wimbledon Beaumont

Updated 24 May 2022

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

This inspection was carried out by three 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. The Expert by Experience made calls to relatives.

Service and service type

Wimbledon Beaumont 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. Wimbledon Beaumont is a care home with nursing. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post. They were not present on the day of our inspection due to personal commitments.

Notice of inspection

This 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 also reviewed intelligence information we held on our system including notifications about important incidents.

We used all this information to plan our inspection.

During the inspection

We spoke with the one person living at the home, two relatives, the operations director, the clinical lead, four healthcare assistants, two agency healthcare assistants, two nurses, the administrator and the activities coordinator. We also spoke with the registered manager from their sister service, who was present to support the inspection.

An Expert by Experience spoke with six relatives.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 24 May 2022

About the service

Wimbledon Beaumont is a residential care home providing personal and nursing care for to up to 49 people in one adapted building. The service provides support to older people, including those with dementia and a physical disability. At the time of our inspection there were 44 people using the service.

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

Staffing levels at the home were not always consistent in meeting people’s needs. People, relatives and staff reported that they felt more staff were needed. We have made a recommendation for the provider to review their staffing levels.

Quality assurance checks required more details to ensure that findings were clear, so that issues could be identified to support developments and improvements.

People were supported by staff that were safely recruited. Staff working at the home knew how to report any potential signs of abuse. Potential risks to people were clearly assessed so that staff were able to mitigate risk occurrence. Medicines were administered to people at the times they needed them and in line with prescribing guidelines.

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.

Staff received relevant training and support to enable them to carry out their roles. People were well supported with meals of their choosing and to access healthcare professionals when needed. The premises were suitably designed to meet people’s needs.

People were well cared for by staff that established a good rapport. Staff treated people with dignity and respect, whilst supporting people to be as independent as they could be.

Activities were planned to help stimulate people. Care records were personalised and allowed people to be supported in ways that met their preferences. Where people expressed their end of life wishes they were supported to do so and their care records reflected this. Complaints and concerns were responded to in a timely manner.

The leadership was visible, and people, staff and relatives felt they were able to raise any concerns they may have. The provider worked alongside other agencies to support continuity of care. People, relatives and staff feedback was sought to help develop and improve the service.

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 good (published 04 September 2019)

Why we inspected

The inspection was prompted in part due to concerns received about staffing, suitable stimulation for people and the working culture of the home. A decision was made for us to inspect and examine those risks.

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 COVID-19 and other infection outbreaks effectively.

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

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wimbledon Beaumont on our website at www.cqc.org.uk.

Follow up

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