We carried out a review of the data available to us about Great Wheatley Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Great Wheatley Nursing Home, you can give feedback on this service.
Great Wheatley Nursing Home is a residential care home providing personal and nursing care to 21 people at the time of inspection 17 people were using the service.
People’s experience of using this service and what we found
People and their relatives gave us positive feedback on their experience of using the service.
Care and treatment were planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. Staff had received appropriate training. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medication was dispensed by staff who had received training to do so.
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 supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required. The environment was well maintained and suitable for people.
People were supported to follow their interests and participate in social activities. Complaints were responded to in a timely manner. People were supported to make plans for the end of their life.
The registered manager had been successful in driving improvements at the service. Systems had been put in place to monitor the service and improve outcomes for people.
Rating at last inspection and update
The last rating for this service was requires improvement (published 22 April 2022). The registered manager completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Great Wheatley Nursing Home is a care home providing personal and nursing care to 17 people aged 65 and over at the time of the inspection. The service can support up to 21 people. Accommodation is provided in one building over two floors.
People’s experience of using this service and what we found
Infection control guidelines were not always being followed. People’s care plans and risk assessments were not always up to date or reflective of their needs. Systems to monitor the quality and safety of the service people received were not always effective. Decisions about people’s care had not always been documented. The service was not engaging people in meaningful activities.
We made a recommendation to the provider about how they provide activities.
People felt safe living at the service. Staff understood how to keep people safe. Staff recruitment and training helped to keep people safe and protect them from the risk of abuse. There were enough staff to keep people safe. Medicines were administered safely. Regular health and safety checks were completed. The service was clean, and staff were using personal protective equipment [PPE] correctly.
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 had enough to eat and drink and were supported to maintain a healthy diet. People were referred to healthcare professionals when necessary.
Staff were caring and kind and supported people in a respectful and dignified way. Staff understood how to protect people’s privacy and individual choices.
People were supported to have contact with their friends and family. People and their relatives felt confident to raise concerns. People had been given the opportunity to discuss their wishes about end of life care and this was recorded.
People and their relatives were asked to provide feedback to the service. Staff felt supported by the registered manager. The service engaged in some partnership working with healthcare professionals to achieve good outcomes for people.
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 the service under the previous provider was good, published on 4 April 2018.
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to infection control, keeping accurate records and the systems in place to monitor the safety and quality of the service at this inspection. 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 for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.