Wetley Manor Care Home

Updated 14 August 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 05 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 14 August 2020

About the service

Wetley Manor is residential purpose-built single floor care home providing personal care with accommodation to 22 older people who may be living with dementia, poor mental health or a physical disability. 20 people lived at the home on the day of our inspection.

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

The provider had made improvements since our last inspection in respect of management systems but there were still areas relating to ensuring the safety of medicines management which needed to be developed further, although the provider was not in breach of regulations and there was no evidence of harm.

People and relatives told us the service was safe and staff were aware of how to minimise risks to people and promote their safety. Staff knew how to identify risks and change their approach to minimise these.

People were supported by staff that were caring, showed compassion and expressed an interest in people. People told us they received care that met their expectations and was based on their individual needs and preferences. Staff were knowledgeable about people, their needs and preferences.

People were supported by care staff who had the skills and knowledge to meet their needs. Staff understood, felt confident and well supported in their role. People's health was supported as staff worked with other health care providers when needed to support people’s healthcare needs.

People were supported to have maximum choice and control of their lives and staff understood they should support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us they enjoyed meals they chose and there was access to a range of foods that met people’s needs due to their health, or specific preferences.

People's care plans reflected people’s needs and preferences and the staff were able to explain how people were involved to ensure care plans were up to date. There was some scope for development of some areas of these that the provider had initiated.

The provider was responsive to information from people and relatives. People knew how to complain and felt concerns would be listened and responded to by the staff. People’s comments were used as a tool to drive improvement of the service.

People, relatives and staff gave us a positive picture as to the quality of care people received, and said they were able to share their views with staff. People said they were able to follow their chosen routines, had choice and accessed activities at the service.

Quality monitoring systems included audits, regular checks on people’s satisfaction with the service they received, by surveys, meetings or ongoing discussion. The provider has systems in place to ensure they kept up to date with developments in the sector and changes in the law with support from a care consultant.

People and relatives told us the registered manager and staff were approachable, organised, listened and responded to them and acted on feedback when they shared this with them. People and relatives told us the service was well managed. The provider demonstrated they were not complacent and wished to improve the service further, for example developing better care records and improving the environment further.

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 20 June 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection and was also completed as part of our scheduled re inspection activity.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.