Background to this inspection
Updated
12 May 2022
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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type:
Wetherby Manor 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.
The service had a manager in the process of registering with the Care Quality Commission. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was unannounced.
What we did before inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
Inspection activity commenced on 7 April 2022.
We spoke with six people who used the service and one relative about their experience of the care provided.
We spoke with nine members of staff including the manager, deputy manager, district manager, regional support manager, wellbeing manager, nurses, care and kitchen staff. We received feedback from a visiting G.P.
After the inspection
We continued to seek clarification from the provider to validate evidence found including training data and quality assurance records.
Updated
12 May 2022
About the service:
Wetherby Manor is a nursing home providing accommodation, nursing and personal care to up to 75 people over three floors, each of which has separate adapted facilities. The home provides support to older people and people living with dementia. At the time of our inspection there were 62 people living at Wetherby Manor.
People's experience of using this service and what we found
People felt safe with the care they received, and staff were knowledgeable about when to report concerns to safeguard people. Risk assessments identified people's individual support needs, and professionals were referred to when required.
Staff were recruited in a safe way. Sufficient numbers of staff with the right skills were deployed to meet people's needs.
Systems were in place to ensure medicines were received, store and administered in a safe way. Staff received appropriate training to ensure they had the skills to meet people's needs. Staff knew and understood people's support needs well.
Infection control systems were followed. People were protected against the risks of transmission of COVID-19.
People were provided with a choice of nutritious home cooked meals. Staff monitored the food and fluid intake of people at risk of malnutrition and / or dehydration and timely action was taken in response to any concerns identified.
People were supported to have maximum choice and control over 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 were asked for their consent before care and support was provided and staff understood the principles of the Mental Capacity Act 2005. Systems to assess and record people's capacity to make informed decisions about their care and treatment were in place.
People had access to healthcare services as and when required. People commented the staff were kind and caring and they had positive relationships with all the staff. Staff maintained people's privacy and dignity and encouraged people to be as independent as possible. Staff worked in a flexible way to meet people's support needs in a person-centred way.
People were involved in developing their care plans and were given choices. People knew how to make a complaint and felt confident any concerns or complaints would be listened to and appropriate action taken by the management.
People and staff all commented they had confidence in the registered manager and the management team.
People and staff were asked for their feedback and this was acted on to continually improve the service provision.
Rating at last inspection
The last rating for the service under the previous provider was good, published on 19 January 2019.
Why we inspected
This service was registered with us on 22 July 2019 and this is the first inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.