Background to this inspection
Updated
8 June 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team
The inspection team consisted of one inspector, one assistant inspector and a specialist professional advisor. The specialist professional advisor on this inspection was someone who had nursing expertise.
Service and service type
Wilson Lodge 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.
Notice of inspection
This inspection was unannounced and took place on 09 May 2019.
What we did:
We used information the provider sent to us in the Provider Information return (PIR). This is information we require providers to send to us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service, including notifications they had made to us about important events. We also reviewed all other information sent to us from other stakeholders, for example, the local authority and members of the public.
During the inspection, we spoke with four people using the service to ask about their experience of care. We also spoke to one relative who was visiting the home and two relatives of people by telephone. We spoke with the provider, the registered manager, one nurse, one senior support worker, four support workers and the cook. We also spoke with two healthcare professionals who were visiting the service on the day of the inspection and a third healthcare professional by telephone.
We looked at the care records for seven people, two staff employment related records and records relating to the quality and management of the service. Details are in the Key Questions below.
Updated
8 June 2019
About the service:
Wilson Lodge is a care home that provides nursing and personal care for up to 36 people who are living with mental health conditions. At the time of the inspection, 30 people lived at the service.
People’s experience of using this service:
Since the last inspection in September 2017 we found some improvements had been made to address the areas we identified as requiring improvement. At this inspection we found regulations had been met.
People were supported by staff to stay safe and who treated them with respect and dignity and encouraged them to maintain their independence.
People were supported to receive their medicines as required to assist their wellbeing and people enjoyed a healthy diet with a choice of meals.
Staff sought people’s consent before providing support and staff liaised with other health care professionals to meet people’s health needs and support their wellbeing.
Staff knew people well and provided care in the way that people preferred. People and their relatives felt able to raise any concerns they may have with staff.
Staff received training that was appropriate to them in their role and they felt supported by the management team to provide a good standard of care.
People were supported to enjoy a range of activities and people received individualised care and support from staff.
The provider had quality assurance systems in place and we saw where action had been taken to make improvements. Staff said they felt supported and could talk to management, who they considered approachable, and felt confident any concerns would be acted on promptly.
People, relatives and staff spoke of improvement within the service since the last inspection. The provider worked in partnership and collaboration with other key organisations to support care provision.
Rating at last inspection:
At the last inspection we rated Wilson Lodge as ‘Requires Improvement’ (report published 13 July 2018).
Why we inspected:
This was a planned inspection based on the rating at the last inspection.
Follow up:
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk