We carried out a review of the data available to us about Wollaton Park Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Wollaton Park Care Home, you can give feedback on this 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.
People’s experience of using this service:
The service met the characteristics of Good in most areas; more information is in the full report.
There were audits in place to review the quality of care however these were not used to identify and mitigate shortfalls. Communication between staff needed to be improved to ensure people received the correct support.
Staff knew how to recognise abuse and understood the actions they should take to report concerns. There were risk assessments and management plans in place to support people safely. Medicines were stored, recorded and administered correctly to ensure people had the medicines which were prescribed for them. There were sufficient suitably recruited, trained and supported staff who were aware of infection control requirements to protect people from harm.
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. Staff received training and support to provide care effectively. People were provided with a variety of foods, presented in a way that met their needs and plentiful drinks to maintain their wellbeing. People were supported by health care professionals to sustain their health.
Staff provided kind, compassionate and considerate care. People were given opportunities to voice their opinions and were confident that if they raised a complaint it would be investigated thoroughly.
Relatives were welcomed and involved. People were given opportunities to take part in social activities inside and outside of the home. Staff knew people well and care was reviewed with people to ensure their care reflected the level of support they required.
There were opportunities for people to voice their opinions of the service at meetings and through satisfaction surveys. People were aware who the registered manager was, and staff felt supported.
Rating at last inspection: Good: report published on 9 September 2016.
Why we inspected: This was a scheduled inspection based on previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
About the service: Wollaton Park Care Home is owned by Medina View Limited. It is situated in the Wollaton Park area of Nottingham. Providing care for up to 40 people with dementia and residential care. 33 people were living in the home at the time of our inspection.
People’s experience of using this service:
The service met the characteristics of Good in most areas; more information is in the full report.
There were audits in place to review the quality of care however these were not used to identify and mitigate shortfalls. Communication between staff needed to be improved to ensure people received the correct support.
Staff knew how to recognise abuse and understood the actions they should take to report concerns. There were risk assessments and management plans in place to support people safely. Medicines were stored, recorded and administered correctly to ensure people had the medicines which were prescribed for them. There were sufficient suitably recruited, trained and supported staff who were aware of infection control requirements to protect people from harm.
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. Staff received training and support to provide care effectively. People were provided with a variety of foods, presented in a way that met their needs and plentiful drinks to maintain their wellbeing. People were supported by health care professionals to sustain their health.
Staff provided kind, compassionate and considerate care. People were given opportunities to voice their opinions and were confident that if they raised a complaint it would be investigated thoroughly.
Relatives were welcomed and involved. People were given opportunities to take part in social activities inside and outside of the home. Staff knew people well and care was reviewed with people to ensure their care reflected the level of support they required.
There were opportunities for people to voice their opinions of the service at meetings and through satisfaction surveys. People were aware who the registered manager was, and staff felt supported.
Rating at last inspection: Good: report published on 9 September 2016.
Why we inspected: This was a scheduled inspection based on previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Wollaton Park Care Home provides accommodation to older people. It is registered for a maximum of 40 people. There were 35 people receiving care and support at the home at the time of our visit.
On the day of our inspection there was a registered manager 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.
People told us they felt safe at the home. They were supported by staff who understood how to report allegations of harm. Risk assessments were in place to identify and reduce the risk to people’s safety. There was sufficient staff to keep people safe and medicines were stored and handled safely.
People’s rights were protected under the Mental Capacity Act 2005. People were supported by staff who were knowledgeable and skilled to carry out their roles and responsibilities. Training and development was reviewed and updated appropriately. People received sufficient amounts to eat and drink and enjoyed their meals. People had access to other healthcare professionals and received effective care that was relevant to their needs
People were treated with kindness and compassion and spoke highly of the staff. Staff interacted with people in a friendly and caring way. People’s privacy and dignity was protected and they felt able to contribute to decisions made about their care. Arrangements were in place for people to receive support from an independent advocate if they needed one.
People’s care records focused on people’s wishes and respected their views. Staff responded to people’s needs promptly. They encouraged people to participate in activities that were meaningful to them which reflected their needs. A complaints process was in place and staff knew how to respond to complaints.
People, relatives, staff, and healthcare professionals complimented the registered manager. People were empowered to contribute to the development of how the home was run. The registered manager actively sought people’s views and acted on them. There were systems in place to monitor and improve the quality of the service provided. The home and staff was led by a registered manager who had a clear understanding of their role and how to improve the lives of all of the people living at the home. They had a robust auditing process in place that identified the risks to people and the home and they were dealt with quickly and effectively.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.
This was an unannounced inspection, which meant we did not notify the care home of our visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider. There was a registered manager in post on the day of our visit. There were no outstanding breaches from the last inspection.
Wollaton Park provided accommodation and nursing for up to 40 people who have nursing or dementia care needs. There were 33 people living in the home at the time of our inspection. The home also provided intermediate care for people who needed care and support on a short term basis, when they first left hospital.
We found that the provider did not make suitable arrangements to ensure people who lacked capacity received appropriate assessment.
CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. Staff were aware of the MCA, but lacked understanding of Deprivation of Liberty Safeguards (DoLS). This meant there was a risk that people could be restricted without the appropriate safeguards being in place.
This was a breach of Regulation of the Health and Social Care Act 2008. (Regulated Activities) Regulation 2010. You can see what action we have asked the provider to take at the back of the full version of the report.
All of the people we spoke with told us they felt safe and that staff were kind and compassionate. We saw staff interacting with people in a calm and respectful way.
Staff we spoke with was caring and knowledgeable about the people they supported. They treated people with dignity and respected their privacy. People’s specific care needs were assessed and care workers were made aware of these in plans of care. They alerted health care professionals if they had any concerns.
We observed people participating in activities, such as reading newspapers, completing puzzle books and one person was knitting. We also saw staff supported people to be involved with the local community.
The provider had adequate systems required by regulations to assess and monitor the quality of service provision, but in relation to complaints and safeguarding referrals there were no audit trails. to ensure complaints were satisfactory addressed.
Staff training arrangements were good and staff we spoke with told us they attended training regularly to support them do their job. Other staff talked about the induction process and how they felt supported by the management.
We saw information in each person's room regarding Wollaton Park Care Home and what service they provided. People we spoke with told us they received enough information to help them make informed choices and they said, 'Staff were attentive to people's needs.'
People we spoke with were unaware of any resident meetings that had taken place in the home however they said they could raise their opinions and concerns in other ways if they felt the need to do so.
The provider took steps to ensure people's care and welfare was assessed to meet their needs.
Staff said they felt supported by the provider and felt they could acquire further skills and qualifications that were relevant to the work they did.
We found a number of concerns regarding medication. There were gaps identified in the records. The administration was not coherent. It was not easy to identify if a person had received the correct dosage of medication or if it was given at the correct time.
We observed staff were kind, caring and supportive of people, however this was not reflected in the records they kept for each individual. We found a number of shortfalls regarding the record keeping, there were gaps and very basic information to identify if the persons needs had been met.