• Care Home
  • Care home

Wollaton Park Care Home

Overall: Inadequate read more about inspection ratings

2A Lambourne Drive, Wollaton, Nottingham, Nottinghamshire, NG8 1GR (0115) 928 3030

Provided and run by:
Medina View Limited

Latest inspection summary

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Background to this inspection

Updated 13 February 2024

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors and 1 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

Wollaton Park is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Wollaton Park is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 9 people and 2 relatives about their experience of the care provided. We spent time in communal spaces observing the interactions between staff and people living at Wollaton Park.

We spoke with 9 members of staff, including the registered manager, the deputy manager, the care plan co-ordinator, care staff, kitchen, maintenance and domestic staff and the service administrator. We spoke with a visiting health professional about their experience of the service.

We reviewed a range of records. This included 6 people's care records and various medicine records. We reviewed 3 staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification and assurance from the provider to validate evidence found. We looked at training data and quality assurance records.

Overall inspection

Inadequate

Updated 13 February 2024

About the service

Wollaton Park Care Home is situated in the Wollaton Park area of Nottingham. Providing accommodation with personal care for up to 40 people, some of whom may live with dementia. At the time of our inspection there were 37 people using the service.

People’s experience of the service and what we found:

The service was not well-led. There was a lack of effective governance systems in place to ensure the service was meeting regulations. The provider had not maintained oversight of the service to ensure that people's safety was maintained. There was a lack of effective systems in place to ensure the environment and equipment was safe and clean. Poor infection control practices at the service placed people at risk of harm.

Records relating to people's care did not always contain information and guidance to enable staff to provide the safe care and support people required. Risk management was not in place for some people who were at a high risk of falls and people who may present a risk to others from their behaviour.

Not all staff received training in areas relevant to people's healthcare needs and completed an induction when they started work at the service. People were left at risk of being supported by insufficient numbers of staff without the skills and knowledge to support their identified needs.

We received mixed feedback from both people, and their relatives regarding their opinions of the quality of the care and support they received.

People and their relatives told us staff were kind and caring. We observed positive interactions between staff and people using the service during the inspection.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People were not fully supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support 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

The last rating for this service was good (published 8 April 2019).

Why we inspected

The inspection was prompted in part due to concerns received about infection control. A decision was made for us to inspect and examine those risks.

You can see what action we have asked the provider to take at the end of this full report. Please see the Safe and Well Led sections of this full report.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Wollaton Park Care Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment; infection control; person-centred care; staffing and good governance at this inspection. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Special Measures

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.