26 April 2018
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Worplesdon View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Worplesdon View is registered to provide accommodation for persons who require nursing or personal care for up to 78 people. There were 69 people living at the service at the time of our inspection.
This inspection took place on 08 March 2018 and was unannounced.
The inspection team consisted of two inspectors, two nurse specialists who were experienced in care and support for elderly people and two experts 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.
Before the inspection we reviewed records held by CQC which included notifications, complaints and any safeguarding concerns. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing potential areas of concern at the inspection.
The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This information was reviewed to see if we would need to focus on any particular areas at the home.
We spoke with 21 people who lived at the home, seven relatives and nine staff which included the registered manager who was present on the day. We observed how staff cared for people, and worked together. We also reviewed care and other records within the home. These included 12 care plans and associated records, six medicine administration records, five staff recruitment files, and the records of quality assurance checks carried out by the staff.
We also contacted commissioners of the service to see if they had any information to share about the home.
26 April 2018
Worplesdon View is a purpose built care home providing nursing and residential care for up to 78 older people, some of whom were living with dementia. The service is separated into three units; one of the units is for people living with early to late dementia and the other two units are for people with greater nursing needs. At the time of our inspection there were 69 people were living at the service.
There was a registered manager in post. 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 registered manager was at the home during the time of our inspection.
We last carried out a comprehensive inspection of Worplesdon View in August 2017 where we found the registered provider was in breach of seven regulations. These related to the safe care of people; staffing levels; the responsiveness of the service to people’s needs, and how they managed complaints; and the effectiveness of the provider’s quality assurance systems. Following this inspection the registered provider sent us an action plan of how they would address these issues.
The inspection took place on 8 March 2018 and was unannounced. During this inspection we found that the concerns raised at our previous inspection had been dealt with. The provider now needed time to embed the processes to show they were robust and effective at ensuring people continued to receive a good standard of care.
There was positive feedback about the home and caring nature of staff from people who live here. The registered manager had been in post for over three months, and had made many positive changes to the standard of care people received. Quality assurance processes were now picking up day to day issues, so that corrective action could be taken.
People were safe at Worplesdon View. Staff understood their duty should they suspect abuse was taking place. Risks of harm to people had been identified and clear plans and guidelines were in place to minimise these risks. The home was clean, and staff practiced good infection control measures, such as hand washing and correct use of personal protective equipment.
There were sufficient staff deployed to meet the needs and preferences of the people who lived at the home. In the event of an emergency people would be protected because there were clear procedures in place to evacuate the building.
The provider had carried out appropriate recruitment checks to ensure staff were suitable to support people in the home. Staff received a comprehensive induction and ongoing training, tailored to the needs of the people they supported. People’s nursing needs were met by competent staff.
Staff managed the medicines in a safe way and were trained in the safe administration of medicines.
Where people did not have the capacity to understand or consent to a decision the provider had followed the requirements of the Mental Capacity Act (2005). An appropriate assessment of people’s ability to make decisions for themselves had been completed. Staff were heard to ask people for their permission before they provided care. Where people’s liberty may be restricted to keep them safe, the provider had followed the requirements of the Deprivation of Liberty Safeguards (DoLS) to ensure the person’s rights were protected.
People were supported to have a balanced diet and they were encouraged to keep hydrated. People had enough to eat and drink, and specialist diets either through medical requirements, or personal choices were provided.
People were supported to maintain good health as they had access to relevant healthcare professionals when they needed them. When people’s health deteriorated staff responded quickly to help people and made sure they received appropriate treatment.
People received the care and support as detailed in their care plans. The staff knew the people they cared for as individuals, and were positive in their interactions with them. Staff treated people with kindness and respect. People were involved in their day to day care decisions. People were supported at the end of their lives to have a dignified death.
People had access to wide range of activities in the home. These helped keep people fit, and stimulate their minds to prevent them becoming bored or isolated.
People knew how to make a complaint. Where complaints and comments had been received the staff had responded to try to put things right.