Whitefriars Nursing and Residential Home

Updated 3 October 2023

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 was carried out by 2 inspectors and an Expert by Experience who spoke to people living in the home. 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

Whitefriars Nursing and Residential home 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, and both were looked at during this inspection.

Registered Manager

The 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 2 registered managers in post.

Notice of inspection

Inspection activity started on 5 September and ended on 7 September 2023. The inspection visit took place on 5 September 2022 and was unannounced.

What we did before the inspection

We reviewed information we had received about the service since they registered. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We met 7 people using the service and 5 relatives. We also met the 2 registered managers and the owners of the organisation and 4 care staff. We looked at the care records for 4 people using the service. We looked at the recruitment, training, and support records of 4 members of staff. In addition, we viewed other records the provider used for managing the service which included records of meetings and quality monitoring. As part of the inspection, we looked at how medicines were stored, recorded, and administered.

Updated 3 October 2023

About the service

Whitefriars Nursing and Residential home is a care home for up to 28 people. 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. Whitefriars Nursing and Residential Home accommodates 28 people in one adapted building and there were 25 people using the service at the time of our inspection.

People’s experience of using this service and what we found

People who live at the service felt the management and staff were caring and kind and available when needed. Staff protected people’s privacy and dignity and knew how to respond to people’s individual needs. The service worked well with other agencies when needed. Staff knew how to protect people from poor care and abuse and had training around this.

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.

Care plans reflected people’s needs and choices and specific medical conditions, we were assured people’s needs were being met by the service.

The provider had quality assurance systems in place to manage the quality of service delivery. The environment was safely maintained.

People and their relatives felt the service was well managed and they were able to speak to the registered managers when they needed to. There were clear records, and the service was well organised. There were clear policies and procedures in place and staff were aware of these. People's views about their care were sought on a regular basis.

The provider had ensured staff were trained to meet people's care and support needs. Staff had received an induction at the start of their employment to ensure they had the required knowledge to meet people's needs. The provider had a system in place to ensure training was refreshed annually or as required. Staff received regular supervision from the managers.

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 good (published 17 March 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. 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.

We did not inspect the key questions of effective, and caring.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Follow up

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