Updated 21 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:
•This inspection was carried out by one Adult Social Care inspector and one expert by experience who had experience of working with older people. 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:
•Wellfield House 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 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 on the first day. The inspection site activity started on 3 June 2019. The second day inspection site activity was announced and took place on 4 June 2019.
What we did:
•We reviewed the information we held about the service. This included the previous inspection report, notifications since the last inspection and feedback from the local authority. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in their Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
•During our inspection we spoke with the registered manager and five care staff. We spoke with 12 people, and observed people who received personal care and support. We also spoke with three family members who were closely involved in peoples care and support and received feedback from two health and social care professionals.
•We looked at records relevant to the management of the service. These included five care and support plans. We reviewed risk management plans, health and safety records, complaint and incident reports, four staff recruitment files, staff training records, medicine management records, and performance monitoring reports.