Archived: Wetherby Manor

Updated 19 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 and 26 October 2018 and was unannounced. This meant the staff and the provider did not know we would be visiting. The inspection was carried out by an inspector, two Experts by Experience, a governance speciality advisor and a primary medical service inspector. The expert by experience had personal experience of caring for someone who used this type of care service.

This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team included a dental inspector who looked in detail at how well the service supported people with their oral health. This included support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in relation to oral health for people living in care homes in 2019.

Before we visited the home, we checked the information we held about this location and the service provider, for example we looked at the inspection history, complaints and statutory notifications. A notification is information about important events which the service is required to send to the Commission by law.

We contacted professionals involved in caring for people who used the service, including commissioners and infection control staff. Information provided by these professionals was used to inform the inspection.

We used the provider information return to help us with planning. 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. We took this into account when we inspected the service and made the judgements in this report.

During our inspection we spoke with 13 people who used the service and six relatives. We spoke with the registered manager, deputy manager, five care staff and domestic staff.

We looked at the personal care and treatment records of seven people who used the service and observed how people were being cared for. We also looked at the personnel files for five members of staff.

We reviewed staff training and recruitment records for five staff. We also looked at records relating to the management of the service such as quality audits, surveys and policies.

Updated 19 January 2019

This inspection took place on 16 and 22 October 2018 and was unannounced. This meant the staff and the provider did not know we would be visiting. Wetherby Manor was last inspected by CQC on May 2016 and was rated good.

At this inspection we found the evidence continued to support the rating of 'good' and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risk or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Wetherby Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Wetherby Manor accommodates up to 75 older people, some of whom are living with dementia, others have nursing care or mental health needs. On the day of our inspection there were 68 people using the service. People who used the service and their relatives were complimentary about the standard of care.

The service had a registered manager in place. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff and the provider went above and beyond to improve people’s day to day lives. People were supported to identify and meet their dreams. Other people tried new innovative ways of stimulation using state of the art technology to recreate memories. People told us and we observed they shared close relationships with staff and staff would spend their own time talking with people.

We found people had their dreams identified and the service worked with the person to make these dreams come true. We observed and people told us staff were exceptionally caring in their attitude and involved them in all decisions about their care.

The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. Staff were supported to provide care to people who used the service through a range of mandatory training, supervision and appraisal. Staff said they felt supported by the registered manager.

Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible. 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. Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs, in the home and within the local community.

Care records showed people’s needs were assessed before they started using the service and care plans were written in a person-centred way and were reviewed regularly. Person-centred care is about ensuring the person is at the centre of any care or support and their individual wishes, needs and choices were considered.

The registered manager understood their responsibilities about safeguarding and staff had been trained in safeguarding vulnerable adults. People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. People had access to healthcare services and received ongoing healthcare support. Appropriate arrangements were in place for the safe management and administration of medicines.

The home was clean, spacious and suitable to support the needs of the people who used the service. The provider had effective procedures in place for managing the maintenance of the premises and appropriate health and safety checks were carried out. Accidents and incidents were appropriately recorded and risk assessments were in place where required.

The provider had an effective complaints procedure in place and people who used the service and their relatives were aware of how to make a complaint. The provider had a quality assurance process in place. People who used the service, relatives and staff were regularly consulted about the quality of the service through meetings and surveys.

Further information is in the detailed findings below.