Wey House Nursing Home

Updated 2 August 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.

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

The inspection was carried out by 2 adult social care inspectors and a medicines inspector.

Service and service type

Wey House 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. Wey House 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.

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. However, they were not working at the home at the time of the inspection. The provider had made suitable management arrangements to cover their absence.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at the information we had received from, and about the home. This included information provided by other healthcare professionals.

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 spoke with 6 people who lived at the home and 2 visitors. We also spoke with 13 members of staff and representatives of the provider. The operations manager was available throughout the inspection.

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 looked at a variety of records relating to people’s individual care and the running of the home. These included 5 care and support plans, a sample of medicines administration records, 2 staff recruitment files, a selection of health and safety records and minutes of meetings. The operations manager supplied us with copies of action plans by email.

Updated 2 August 2023

About the service

Wey House Nursing Home is a residential care home providing personal and nursing care. It is registered to provide accommodation and care to up to 31 people.

The home specialises in the care of people who have a brain injury or complex neurological health care needs. The home is also registered to support people who have a learning disability.

At the time of our inspection there were 28 people living at the home.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support:

The service design and model did not fully meet the principles of Right support, right care, right culture. This is because the service is larger than what is usually considered practicable to provide person-centred care and support. The service was registered with us prior to the Right support, right care, right culture guidance being implemented. The service was able to demonstrate they met these principles, people received person centred care and support

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.

People were able to make choices about their day to day lives. Staff supported people in a person-centred way.

Right Care:

People’s health needs were monitored, and they were supported to access healthcare professionals according to their individual needs.

Each person had a care and support plan which gave details about how needs would be met. However, these plans were not always easy to find up to date information in. This meant staff may not always have easy access to the information they required to effectively support people. This was an area for improvement which had already been identified by the provider.

People received their medicines in a safe way, as prescribed for them. However, we identified some areas for improvement.

Right Culture:

People lived in a home where the provider had taken action to address shortfalls in the service to promote people’s wellbeing. Additional management support had been put in place to drive improvements and support people and staff.

People were cared for by staff who were positive and enthusiastic about making improvements to the service provided. Staff morale was good which created a happy environment for people to live in.

The management arrangements at the time of the inspection ensured that shortfalls in the care provided were being identified and addressed.

People were cared for by staff who felt supported by the current management arrangements. Staff were receiving additional training to make sure their practice was in line with up-to-date best practice guidelines and legislation.

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

Rating at last inspection

The last rating for this service was good (report published 7 January 2022)

At our last inspection we recommended that the provider reviewed their risk assessments to ensure they were robust and helped to maintain people’s safety. At this inspection we found improvements had been made and risk assessments gave information about actions taken to minimise risks.

Why we inspected

The inspection was prompted in part due to concerns received about staffing and staff skills. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and effective sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has not changed from good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wey House Nursing Home on our website at www.cqc.org.uk

Follow up

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