Wellington Park Nursing Home

Updated 16 June 2021

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 Care Act 2014.

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

This inspection was carried out by two inspectors and a specialist advisor nurse. The inspection was also supported by two Experts 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. One Expert by Experience supported the inspection on-site and spoke with people using the service to get their feedback. The second Expert by Experience contacted people’s relatives and friends by telephone to request their feedback.

Service and service type

Wellington Park Nursing Home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us 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. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service. We spoke with the nominated individual, the registered manager, the business manager, two nurses and the activity co-ordinator. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We undertook observations of people receiving care to help us understand their experiences, especially for those people who could not talk with us.

We reviewed a range of records. This included five people's care records and 20 people's medication records. We looked at six staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance, training records and health and safety were also reviewed.

After the inspection

We spoke with seven relatives and the friend of one person living at the home. We also spoke with one senior care worker, two care staff and one domestic staff member. We further reviewed four care plans and associated records. We continued to seek clarification from the provider to validate evidence found.

Updated 16 June 2021

About the service

Wellington Park Nursing Home is a care home providing personal and nursing care to people aged 65, some of whom were living with dementia.

Wellington Park Nursing Home accommodates up to 30 people in one adapted building. At the time of this inspection there were 20 people living at the home.

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

People were safe living at Wellington Park Nursing Home. Safeguarding processes were in place to help safeguard people from abuse. Risks associated with people's care had been assessed and basic guidance was in place for staff to follow. However, some risk assessments were not always comprehensive and lacked person centred detail.

People were protected from the risks associated with the spread of infection. The service was clean and well maintained.

There were enough numbers of staff deployed to meet people's needs and ensure their safety. Appropriate recruitment procedures ensured prospective staff were suitable to work in the home.

Medicines were managed and administered safely. However, whilst all staff had completed medicines training, observed assessments had not been completed to ensure staff competency when administering medicines.

Staff received appropriate induction, training and support and applied learning effectively in line with best practice. This meant people’s needs were safely and effectively met ensuring a good quality of life.

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.

Staff were caring and kind and relatives confirmed this. We observed staff responding to people's needs with kindness and respect.

Care plans in place detailed people’s needs and preferences. People’s care needs were assessed prior to admission and regularly thereafter.

Staff supported people to meet their health and nutritional needs. Staff worked with health care professionals to maintain people's wellbeing.

There were quality monitoring systems and processes in place to identify how the service was performing and where improvements were required.

We have made a recommendation that the provider and registered manager ensure that complete records of the care and treatment people receive were maintained and that systems in place to oversee the quality of care were effective.

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 (published 16 May 2018).

Why we inspected

This was a planned inspection based on the previous rating. We had also received information of concern prior to the inspection around the management of people’s health and care needs and the overall management of complaints. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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.

During the inspection we identified some minor concerns around risk management, person centred care recording, recording and oversight of daily fluid intake monitoring and management oversight processes.

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

The overall rating for the service has remained as good.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.