Background to this inspection
Updated
4 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by a single 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
The service did not have a manager registered with the Care Quality Commission in post. A registered manager and provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of inspection, the provider was in the process of changing and the manager had also commenced their registration with the commission.
Notice of inspection
This was inspection was unannounced. We inspected the service on 29 May 2019.
What we did
Prior to the inspection we examined information we held about the service. This included notifications of incidents that the registered persons had sent us since our last inspection. These are events that happened in the service that the registered persons are required to tell us about.
The provider had completed a Provider Information Return. This is information we require providers to send us at least once annually 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
During the inspection we spoke with three people who lived at the service, two relatives, three members of care staff, the administrator and the manager. We also looked at three care records in detail and records that related to how the service was managed including staffing, training, medicines and quality assurance.
Updated
4 July 2019
About the service
Welbourn Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It provides accommodation in two wings for older people including a specialist unit for people living with dementia. The home can accommodate up to 40people. At the time of our inspection there were 25 people living in the home.
People’s experience of using this service and what we found
There was a system in place to carry out quality checks. The registered manager had started to carry these out on a regular basis, however the checks had not identified the issues we found at inspection.
Arrangements were in place to monitor and manage medicines. However, medicine records were completed inconsistently.
There was limited activities on offer because the activity coordinator had recently left the organisation. The registered manager was in the process of recruiting to this role. Care records were personalised and had been regularly reviewed to reflect people's needs.
People said they felt safe. There was sufficient staff to support people and appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people.
People enjoyed the meals and their dietary needs had been catered for. This information was detailed in people’s care plans. Staff followed guidance provided to manage people's nutrition and pressure care.
Care plans contained information about people and their care needs. People were supported to make choices and have their support provided according to their wishes.
People were supported by staff who had received training to ensure their needs could be met. Staff received regular supervision to support their role.
People had good health care support from professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. The provider and staff worked in partnership with health and care professionals.
People felt well cared for by staff who treated them with respect and dignity.
The environment was adapted to support people living with dementia. A refurbishment plan was in place to address this. The home was clean, and arrangements were in place to manage infections.
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
Arrangements were in place to involve people and their relatives in the running and development of the home. The provided had displayed the latest rating at the home and on the website. When required notifications had been completed to inform us of events and incidents.
More information is in the detailed findings below.
Rating at last inspection
Good (Report Published 31 May 2016).
At this inspection the rating remained Good.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.