Wimborne

Updated 11 October 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

Four Inspectors, a Medicines Inspector and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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. However, they were not available at the time of our inspection.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we held about the service including, notifications, complaints, feedback from stakeholders and quality assurance reports. 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 used all this information to plan our inspection.

During the inspection

We spoke with the acting manager, the provider, the clinical development nurse, 10 staff members, 5 people and 10 relatives. We obtained feedback from 5 health and social care professionals that worked closely with the service. We reviewed quality assurance records, various policies and procedures, training and supervision records, medication competency assessments and staffing records. We viewed investigation records and quality improvement plans.

Updated 11 October 2023

About the service

Wimborne is a care home providing accommodation and personal care to older people and people living with dementia. The service can support up to 52 people. At the time of the inspection 41 people were living at the service.

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

The provider failed to ensure people were supported with medicines safely.

Assessments were not always conducted comprehensively and on occasions were incomplete.

We could not be assured people were consistently protected from the risk of harm. This is because incidents had not always been investigated in a timely manner. Notifications were not always submitted to the local authority and CQC as required by law.

Whilst the provider had governance systems in place, these arrangements were not consistently effective at driving improvement and maintaining safety.

The provider was in the process of recruiting additional staff for various job roles. We observed effective staff deployment and people received their care and support at the times they required it.

The provider demonstrated actions were taken when concerns were raised.

People enjoyed a variety of activities and staff engaged positively with people. Relatives and people were complimentary about the care and support people received.

The provider had appropriate arrangements in place for the management of infection control.

Management were open and honest with us during and after the inspection and had submitted 7 notifications retrospectively.

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 the service was good and published on 11 September 2019.

Why we inspected

We carried out a focused inspection because we received information of concern relating to risk management and leadership within the home. We undertook this focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence the provider needs to make improvements. Please see the safe and well led key question sections of this report.

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

Enforcement and recommendations

We have identified 2 new breaches in relation to safe care and treatment and governance.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.