The Weir Nursing Home

Updated 19 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by one inspector over a period of two days.

Service and service type: The Weir Nursing Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection: The inspection was unannounced and took place on 30 May and 05 June 2019.

What we did: Before this inspection we looked at the information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority who work with the service. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is the independent national champion for people who use health and social care services.

Since our last inspection, the provider completed a Provider Information Return (PIR). This is a form that asks providers to give some key information about the service, what the service does well and improvements they plan to make. We took this information into account during the planning of our inspection of the service.

During this inspection, we spent time with people in the communal areas of the home and we saw how staff supported the people they cared for. We spoke with six people who lived at the home and two relatives at the home. We spoke with four relatives on the telephone. We looked at four people’s care records as well as people’s medicine records.

We spoke with the registered manager, the registered provider and the clinical lead. In addition, we spoke with four members of the care staff and one activity coordinator. We spoke with a visiting medical practitioner while at the home and a training provider on the telephone.

We looked at records relating to the management of the home. These included systems for managing incidents, complaints and the checks and quality audits carried out.

Following the inspection, the registered manager sent us some information we requested within one day of us completing the visit.

Updated 19 June 2019

About the service: The Weir Nursing Home is a nursing home that was providing personal and nursing care for up to 35 people. At the time of the inspection 33 people were living at the home.

People’s experience of using this service:

People who lived at the home as well as their relatives were pleased with the standard of care provided. They felt their needs were met by a kind and caring staff team.

Improvements had been made since the previous inspection. Some further improvement was identified as needing to take place regarding medicine management. Immediate action was taken to ensure improvements were made.

People felt safe living at the home and staff were aware of their responsibility regarding the reporting of potential abuse. Risks were identified, and plans were in place to keep people safe. Where equipment was needed to be used this was done safely. There were sufficient staff to support people and additional staff were available if needed.

Staff supported people to maintain their wellbeing by seeking medical advice if needed. People were supported with their dietary needs, people’s weight and fluid intake was monitored and any concerns identified and acted upon. Incidents and accidents were monitored to identify any themes and actions were taken to reduce reoccurrences.

People were supported by staff who were trained and supported by management. The provider had recruitment and induction procedures in place to ensure suitable staff were employed and were supported to provide safe and effective care. Staff were aware of infection control procedures to reduce the risk of cross infection.

Consent was obtained, and people were supported to make decisions about their day to day living in the least restrictive way possible. People were involved in their care. Care plans were in place and regularly reviewed to ensure they were up to date.

People were supported to engaged in things they enjoyed doing for fun and to maintain their interests.

End of life plans were in place and the management team were engaged in local initiatives to further develop end of life care planning. The management team kept up to date with best practice and shared these with staff to ensure they had up to date knowledge.

People and relatives felt they could raise any concerns they had and believed they would be listened.

Quality assurance checks were in place and continual improvement was sought by the management team. The registered manager wished to develop staff further including having staff champions.

Rating at last inspection: At the last inspection, on 25 April and 03 May 2018, the service was rated Requires Improvement (report published 07 June 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Future inspections will be planned for future dates.

We found the service met the requirements for ‘Good’ in four areas and ‘Requires Improvement’ in one area. The overall rating was ‘Good’.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk