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Wombwell Hall Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 May 2019

About the service: Wombwell Hall Care Home is a residential care home that was providing personal and nursing care to up to 120 people aged 65 and over at the time of the inspection. There were 116 people living at the service at the time of inspection. The service was divided into four separate units, each accommodating up to 30 people. People required nursing care and had care needs such as, living with dementia, diabetes, seizures or recovering from a stroke. Some people were nursed in bed, some people needed help with moving around and others were able to mobilise independently.

For more details, see the full report which is on the CQC website at www.cqc.org.uk

People’s experience of using this service:

¿ Although the registered manager used a dependency tool to calculate the numbers of staff needed and felt assured their staffing levels were sufficient, most people we spoke with were clear there were not enough staff as they were often kept waiting to have their needs met. There were a number of agency staff used, particularly at night and people had concerns about this.

¿ People were not always supported to maintain their basic rights when they lacked capacity to make particular decisions, and were deprived of their liberty.

¿ Meaningful occupation through the day was not available to everyone, particularly those who were nursed in bed or chose to stay in their rooms.

¿ People did not always receive their medicines as prescribed as sometimes they did not receive the correct amounts of tablets.

¿ New staff were not always recruited in a safe way to make sure they were suitable to work with people living in the service.

¿ We found one area needing to improve: consideration to providing a more dementia friendly environment.

¿ Apart from the concerns about staffing, people and their relatives thought the staff were caring, friendly and worked hard.

¿ The food was described as good and people could order something different if they were not happy with what was on the menu. Qualified nurses took care of people’s health needs and referred them to other healthcare professionals when needed.

¿ Staff were well trained and supported by a clear management structure.

¿ A registered manager was in post who knew people well.

Rating at last inspection: Requires Improvement (Report published 16 March 2018). Insufficient improvements had been made to raise standards since the last inspection. This service has been rated Requires Improvement at the last two inspections.

Why we inspected: This was a planned inspection based on the previous rating.

Enforcement: Please see the ‘action we have told the provider to take’ section towards the end of this report.

Follow up: We will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated Requires Improvement.

Inspection areas

Safe

Requires improvement

Updated 22 May 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 22 May 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 22 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 22 May 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 22 May 2019

The service was not always well-led

Details are in our Well-Led findings below.