• Care Home
  • Care home

Wellesley House Nursing Home Limited

Overall: Requires improvement read more about inspection ratings

186 Penn Road, Wolverhampton, West Midlands, WV3 0EN (01902) 342195

Provided and run by:
Wellesley House Nursing Home Limited

Latest inspection summary

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Background to this inspection

Updated 18 April 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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector 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

Wellesley House Nursing Home Limited is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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. However, they are no longer working in the service. We discussed this with the nominated individual who offered us assurances they were ensure this registration was corrected and the relevant notification submitted.

There is a new manager in the home who intends to register with us, we will assess the application when received

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since our last inspection, including notifications the provider had sent to us. We also gathered feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 7 people who lived at the home and 1 relative. We also spoke with the nominated individual, a member of the administrative staff, 2 registered nurses, a member of the kitchen staff and 3 care staff. We looked at the care records for 5 people and 20 medicines records for people living in the home. We checked the care people received matched the information in their records. We looked at records relating to the management of the service, including audits and recruitment checks carried out within service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Overall inspection

Requires improvement

Updated 18 April 2023

About the service

Wellesley House Nursing Home Limited is a care home providing personal care to 25 people at the time of the inspection. The home is registered for up to 38 people. People have access to their own bedroom along with communal spaces including lounges and gardens.

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

Quality checks in place to monitor the home were not consistently completed. When completed they did not always identify areas of improvement or demonstrate the actions taken. The provider could not always demonstrate when things had gone wrong, and lessons learnt.

There were no systems in place to work out staffing levels in the home. Despite this, people felt safe and felt their needs were met. Further improvements were needed to ensure people had ‘as required’ medicines plans in place when needed.

Risks to people were considered and reviewed, when needed. Infection control procedures were in place and followed. People received their medicines when needed and were happy living in the home.

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.

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 requires improvement (Published 17 March 2020).

Why we inspected

We received concerns in relation to safety and leadership. As a result, we undertook a 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.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wellesley House Nursing Home Limited on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to how the home is governed.

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.