Wray Common Nursing Home

Updated 6 October 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 Health and Social Care Act 2008.

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

Two inspectors and an Expert by Experience carried out the inspection. 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

Wray Common Nursing 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. Wray Common Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection, there was a registered manager in place.

Notice of inspection

The first day of the inspection was unannounced. The second day of the inspection was announced.

Inspection activity started on 6 September 2022 and ended on 9 September 2022. We visited the home on 6 and 8 September 2022. We contacted relatives for feedback on 8 and 9 September 2022.

Before the inspection

We reviewed information we had received about the service since the last inspection, including feedback forms submitted to us by relatives and information gathered during a monitoring call with the registered manager in July 2022. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We talked to eight people who lived at the home and five relatives about the care their family members received. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with members of the management team including the registered manager and the provider’s nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We talked to eight staff including nursing, care, activities and catering staff.

We looked at care records for six people, including their assessments, care plans and risk assessments. We checked five staff recruitment files, training records, the arrangements for managing medicines, records of complaints and accidents and incidents, quality checks and audits, meeting minutes and the home’s business contingency plan.

Updated 6 October 2022

Wray Common Nursing Home is a care home with nursing for a maximum of 55 older people, including people living with dementia. There were 48 people living at the home at the time of our inspection.

People’s experience of using this service:

Staff were kind and caring and treated people with respect. There was a friendly, family atmosphere at the home which people enjoyed. Staff respected people’s decisions about their care and encouraged people to be as independent as possible.

There were enough staff available to meet people’s needs. Staff were recruited safely and understood their role in safeguarding people from abuse. Accidents and incidents were reviewed to identify themes and the actions needed to prevent further incidents. Lessons were learned from adverse events and these were shared with staff.

The home was clean and hygienic. Staff attended training in infection prevention and control (IPC) and had access to appropriate personal protective equipment (PPE). Medicines were managed safely.

People’s needs were assessed before they moved to the home to ensure staff could provide their care. People were supported to maintain good health and to access healthcare services when they needed them. Staff monitored people’s health effectively and acted promptly if they identified concerns.

Staff had the induction and training they needed to carry out their roles. Staff were supported through regular one-to-one supervision, which gave them opportunities to discuss their training and development needs. Handovers and team meetings kept staff up-to-date about any changes in people’s needs or to working practices.

People’s care was provided in line with the Mental Capacity Act 2005 (MCA). 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.

People’s care was planned to meet their individual needs. The views of people who lived at the home, their relatives and staff were encouraged and acted upon. People and their relatives felt able to raise any concerns they had and were confident these would receive an appropriate response. The registered manager and staff had established effective working relationships with other professionals involved in people’s care.

The registered manager had improved many aspects of the service since taking up their post, including the quality of care people received, the support provided to staff, communication with relatives, and governance systems. The registered manager acted on feedback we provided at the end of the inspection where we identified areas for improvement.

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 24 May 2019) and there were two breaches of regulation.

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 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.

Follow up:

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