You are here

Wheatfield Court Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Wheatfield Court. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 August 2018

This was an unannounced inspection which took place on 5 June 2018. This meant the staff and provider did not know we would be visiting.

We inspected the service to follow up on the breaches and to carry out a comprehensive inspection.

At the last inspection in July 2017 the service was not meeting all of the legal requirements with regard to regulation 12, safe care and treatment, regulation 18, staff training and regulation 17, governance.

Following that inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions about is the service safe, is it effective and is it well-led to at least good.

At this inspection we found improvements had been made and the service was no longer in breach of regulations 12 and 18. Although further improvements were required as identified in the inspection report. A breach of regulation 17 was in place as further work was required in order to achieve compliance. The quality assurance processes although becoming more robust required further action in other aspects of care. You can see what action we told the provider to take at the back of the full version of the report.

Wheatfield Court is a care home. People in care homes receive accommodation and 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.

Wheatfield Court accommodates a maximum of 60 people who require nursing care or personal care, some whom may live with dementia or a dementia related condition. This includes a separate ‘enhanced care facility’ unit run by the NHS which provides temporary care and rehabilitation to up to 20 people who have been recently discharged from hospital or care to prevent their admission to hospital. At the time of inspection 53 people were accommodated at Wheatfield Court.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider undertook a range of audits to check on the quality of care provided. However, we considered some improvements were required with regard to record keeping, staff deployment, staff training and to ensure previous non-compliance was actioned in a timely way.

The environment was well-maintained and there was a good standard of hygiene. Improvements were required to ensure information was accessible to keep people involved and orientated.

Training provision had been improved for staff. However, we have made a recommendation that staff receive all available training, appropriate to their role to give them more insight into people’s specific care and treatment needs. Staff were supervised and supported.

People and staff told us they felt safe and there were enough staff on duty to provide safe care to people. Staff knew people’s care and support requirements. However, record keeping required some improvements to ensure it reflected the care provided by staff.

A complaints procedure was available. People told us they would feel confident to speak to staff about any concerns if they needed to. People had access to an advocate if required.

Risk assessments were in place and they accurately identified current risks to the person as well as ways for staff to minimise or appropriately manage those risks. Staff knew the needs of the people they supported to provide individual care. Care was provided with kindness and people’s dignity was respected.

Some activities and entertainment were available to keep people engaged and stimulated. Staff did not always interact and talk with people.

People were protected as staff knew how to respond to any allegation of abuse. Whe

Inspection areas

Safe

Good

Updated 10 August 2018

The service was safe.

Improvements had been made to ensure people received safe care that met their needs.

There were sufficient staff on duty to provide safe care.

People received their medicines in a safe and timely way.

The environment was well-maintained and there was a good standard of hygiene.

Effective

Requires improvement

Updated 10 August 2018

Not all aspects of the service were effective.

Staff received supervision and some training to support them to carry out their role effectively. We have made a recommendation that staff receive training to give them more insight into people’s specific needs.

People's rights were protected. Best interest decisions were made appropriately on behalf of people, when they were unable to give consent to their care and treatment.

People received a varied and balanced diet.

Improvements were required to ensure the environment promoted the orientation of people.

Caring

Good

Updated 10 August 2018

The service was caring.

Staff were caring and respectful. People and their relatives said the staff team were compassionate, kind and cheerful.

Good relationships existed and staff met people’s needs in a sensitive way that respected people's privacy and dignity.

People were encouraged and supported to be involved in daily decision making.

Responsive

Requires improvement

Updated 10 August 2018

The service was not always responsive.

Improvements had been made to people’s care records but some other improvements were required to ensure they reflected the care provided by staff. Staff were knowledgeable about people’s needs and wishes.

Staff in some areas of the home did not engage and interact with people except when they provided care and support. There were activities and entertainment available for people.

People had information to help them complain. Complaints and any action taken were recorded.

Well-led

Requires improvement

Updated 10 August 2018

Not all aspects of the service were well-led.

Work had been by undertaken the registered manager to achieve compliance with the regulations since the last inspection. However, we considered further improvements were required with regard to staff training, care records, staff deployment and the environment and orientation.

The registered manager and provider monitored the quality of the service provided and introduced improvements.

A registered manager was in place who encouraged an ethos of involvement amongst staff and people who used the service. Staff said they felt well supported and were aware of their rights and their responsibility to share any concerns about the care provided at the service.