Wollaton View Care Home

Updated 8 December 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 team consisted of 2 inspectors and 1 Expert by Experience.

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

Wollaton View 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. Wollaton View is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This 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 a registered manager in post.

Notice of inspection

The inspection was unannounced

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 contacted Healthwatch for information they held on their database about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spent time observing care and support in the communal areas. We observed how staff interacted with people who used the service. We spoke with 10 people who used the service and 4 relatives about their experience of the care provided. We spoke with 10 members of staff including the nominated individual, registered manager, 2 care coordinators, senior carers, carers, domestic staff, laundry staff and the cook. We spoke with 3 visiting professionals regarding their feedback on the service.

We reviewed a range of records. This included 7 people's care plans, multiple medicines charts, staffing rotas and meetings records. We reviewed recruitment records of 4 staff and supervision and training records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We spoke with the nominated individual during our inspection. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 8 December 2023

About the service

Wollaton View Care Home is a purpose-built care home providing accommodation for up to 46 people requiring nursing or personal care.

At the time of our inspection, 44 people were living at the service. The accommodation was established over two floors. The ground floor was allocated for people with longer term care needs. On the first floor was a short stay assessment and rehabilitation unit. The lower floor provided a communal lounge and dining space for people with access to a garden.

People’s experience of the service and what we found:

People were not kept safe from the risk of infection due to poor infection prevention and control practice within the service.

Staff did not always have sufficient guidance in care plans to support people with complex needs. People’s privacy and dignity was not always maintained.

Gaps in the skills and knowledge of staff left people at risk of not being supported effectively.

Medicines were not always safely stored and managed.

Audits were not always effective at creating improvements at the home.

People were protected from the risk of harm or abuse, by staff who understood their responsibility to ensure safeguarding standards were upheld.

There was a positive ethos at the service and people spoke highly of the care provided. Staff were kind and caring towards people.

Visiting professionals attended the home daily and reported good communication with the registered manager and staff team.

People felt safe at the service, and the registered manager had investigated any concerns and shared these with the local authority.

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.

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

The last rating for this service was Good (published 9 November 2017.)

Why we inspected

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

The inspection was prompted in part by notification of an incident following which a person using the service was alleged to have been the victim of abuse. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of harm to people. This inspection examined those risks.

You can see what action we have asked the provider to take at the end of this full report. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well Led sections of this full report.

We undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Wollaton View Care Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to Regulation 9 (Person Centred Care), Regulation 12 (Safe care and treatment), Regulation 17 (Good Governance) and Regulation 18 (Staffing).

Please see the action we have told the provider to take at the end of this report.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.