Background to this inspection
Updated
16 November 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
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
Our inspection was conducted by two 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.
Service and service type
South Wold Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with CQC. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
In planning our inspection, we reviewed information we had received about the service. This included information shared with us by other organisations including the local authority contract monitoring team. We also reviewed notifications submitted to CQC. Notifications are events which happened in the service that the registered provider is required to tell us about.
During the inspection
We conducted our inspection between 28 September and 13 October 2021.
During the inspection we spoke with the registered manager, a nurse, the housekeeper, a cook, the activities coordinator and three members of the care staff team. We also spoke with two service users and eight relatives.
We reviewed a range of written records including four people’s care file, three staff recruitment files and information relating to the auditing and monitoring of service provision.
After the inspection
We reviewed further information we had requested from the provider, including data relating to staff training.
Updated
16 November 2021
About the service
South Wold Nursing Home is registered to provide accommodation for up to 16 people requiring nursing or personal care, including older people and people living with dementia. At the time of our inspection there were 16 people living in the home’
People’s experience of using this service and what we found
Staff were kind and caring and provided people with warm, person-centred care. Staff understood people’s individual care needs and preferences and used this knowledge to provide people with flexible, responsive support.
Staff promoted people’s dignity and privacy and supported people to enjoy food and drink of their choice. Care planning systems were effective. Staffing resources were managed safely and effectively to meet people's needs. Staff recruitment was safe.
Training and supervision systems provided staff with the knowledge and skills they required to meet people’s needs. Staff worked together in a mutually supportive way and communicated effectively with a range of external organisations.
Systems were in place to ensure effective infection prevention and control. The registered manager and his team had gone to considerable lengths to prevent COVID-19 entering the home and as a result, no one living in the home had become ill due to COVID-19 during the pandemic. People's medicines were managed safely.
Staff were aware of people’s rights under the Mental Capacity Act 2005 and supported people to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.
The provider assessed and managed potential risks to people's safety and welfare. Staff knew how to recognise and report any concerns to keep people safe from harm. Staff worked collaboratively with local health and social care services to ensure people had access to any support they required.
The home was well-led. The registered manager provided supportive, hands-on leadership and was respected by everyone connected to the home. A range of audits was in place to monitor the quality and safety of service provision.
Lessons were learned when things went wrong and any complaints were managed effectively. The registered manager was committed to continuous improvement in the future, including to the ongoing refurbishment of parts of the home.
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 this service was Requires Improvement (published January 2019).
Why we inspected
This was a planned inspection based on the previous rating. 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 coronavirus and other infection outbreaks effectively.
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.