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Wheatfield Court Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 August 2019

About the service: Wheatfield Court can accommodate 60 people in one adapted building. The home is divided into three main areas, ‘Bronte,’ ‘Darwin’ and ‘Eden Court.’ Eden Court’ is a 20 bedded enhanced intermediate care facility which is supported by a team of NHS health care professionals who provide medical and therapy services. There were 48 people living at the service when we inspected, some of whom were living with a dementia.

People’s experience of using this service: At our previous inspection we found a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was due to the accuracy of care records and the monitoring of staff training. At this inspection we found the areas relating to staff training had been fully addressed but people’s care records did not fully contain all the correct information.

During this inspection we found three further breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was due to the safety of the service and care provided to people, duty of candour actions not being fully completed and nursing staff not receiving clinical supervisions.

People’s care records did not accurately reflect all of their needs. We found records were not fully completed or lacked detail. Medicines were not safely managed.

The premises were not always safe for people living at the service. Not all environmental risk assessments were in place.

The management team did not fully understand their accountability regarding duty of candour. Staff were not supported to learn or reflect from serious incidents. Clinical supervisions for nursing staff had not been completed.

The quality and assurance systems in place at the service were not effective as it did not identify the issues we found during the inspection process. People’s records were regularly reviewed but we found these were not always effective reviews.

People and staff were positive about the service. People had access to meaningful activities and were encouraged to maintain social relationships. The premises were decorated nicely and there was clear signage to help people find their way around.

Staff recruitment was safe, and staff had access to regular refresher training. Management supervisions with staff were completed regularly. New staff received an induction from the provider before delivering any aspect of care.

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

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

Rating at last inspection: Requires improvement (report published August 2018). This is the third time the service has been rated as requires improvement.

Why we inspected: This inspection was brought forward due to concerns we had received relating to the safety of care provided to people.

Enforcement We have identified four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to the safety of the care provided, staffing, duty of candour and the governance of the service. Details of action we have asked the provider to take can be found at the end of this report.

Follow up: We will continue to monitor the service through information we receive from the service, provider, the public and partnership agencies. As part of our process we will be meeting with the provider and requesting an action plan to be completed to address the issues identified. We will re-visit the service in line with our inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 14 August 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 14 August 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 14 August 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 14 August 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 14 August 2019

The service was not always well-led.

Details are in our Well-led findings below.