We carried out a review of the data available to us about Wykebeck Court 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 Wykebeck Court Care Home, you can give feedback on this service.
Wykebeck Court is a residential care home providing personal and nursing care to 41 people aged 65 and over at the time of the inspection. The service can support up to 84 people.
The care home accommodates people across two separate floors, with the third floor currently used for events. One of the floors specialised in providing care to people living with dementia.
People’s experience of using this service and what we found
People and their relatives said the service was safe. Staff had been trained in safeguarding vulnerable adults and safeguarding referrals were made appropriately.
People received their medicines as prescribed. Systems and processes around medicines were safe. Risks to people were assessed and monitored appropriately.
There were enough staff deployed to meet people’s needs. Staff received appropriate levels of training and ongoing support from senior staff.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s nutritional intake and general health and wellbeing were monitored by staff with referrals to health and social care professionals made in a timely way. People’s nutritional preferences were recorded and reflected by staff.
Staff took into account peoples diverse cultural and religious needs when delivering care. Staff provided people with choice and control in their care, and people said their independence and dignity was respected by staff.
Activities staff were engaged, and staff ensured people were not socially isolated, taking into account their hobbies and interests. Care plans reflected people’s life histories and preferred routines.
Care plans were not always up to date with regards to people’s needs and documents were not always signed by people or their representatives as required. There were plans in place to address this.
We have made a recommendation about care plans.
The registered manager promoted an open culture and staff said they felt supported by senior leadership. The registered manager used the provider’s quality assurance processes to ensure the quality of the service was monitored and improvements identified and followed up with clear actions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published January 2019) with four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
People’s experience of using this service: Staff did not always provide people with the care and support they needed to stay safe when moving around the home. This included access to appropriate equipment.
The provider did not employ enough staff or deploy staff effectively to keep people safe. Staff did not always respond to people who needed care and support and important duties such as pressure ulcer care were not always completed.
Restrictions had been applied to people without consideration of whether individuals might lack the capacity to make the decision. Where people did not have the capacity to make decisions, the documentation did not always support compliance with The Mental Capacity Act 2005 (MCA).
There was a lack of managerial oversight of the running of the service. This placed people at risk of harm and impacted on the quality of the service people received staff had not received any additional training aligned to the specific and changing needs of individuals.
We received mixed feedback from staff about the support they received from the registered manager and deputy manager.
Thorough assessments were carried out of people’s needs and care plans were regularly reviewed. However, staff were not required to read people’s care plans and this impacted on their ability to provide effective care in a way people preferred.
Further adaptions to the environment were needed to better support the people living with experiences of dementia. We have made a recommendation to the provider about the suitability and design of the premises.
Responses to complaints did not include any information about how to take action if the person was not satisfied with how the provider had managed their complaint. We have made a recommendation to he provider about their complaints procedures.
We received mixed feedback from relatives, staff and external visitors about the caring nature of staff. Staff appeared very busy and we observed very little meaningful interaction or activity between staff and people.
The home was newly built and well maintained. The environment was clean and tidy and staff followed infection control protocols to prevent the spread of infection.
Medicines were managed safely and stored securely in a locked treatment room and access was restricted to authorised staff.
People had access to food and drink throughout the day and an evening menu was available to people at night. We received positive feedback form people and relatives about the high standard of the food.
Rating at last inspection: The was the first inspection of the service and this is the first rating for the service.
Why we inspected: This was a scheduled inspection for this service.
Enforcement: We identified four breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around safe care and treatment, consent, staffing and governance.
Follow up: We have asked the provider to address the breaches of regulation we found during our inspection. 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 either below or on the CQC website at www.cqc.org.uk