All inspections: Wollaton Park Care Home

Date of assessment 22 July 2024 to 24 July 2024. Wollaton Park is a ‘care home’ providing personal care and support to older people and people living with dementia. At the time of the assessment, the service was supporting 37 people with their personal care needs. Wollaton Park Care Home was last rated Inadequate (published 13 February 2024). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We assessed a total of 24 quality statements from the safe, effective, caring, responsive and well-led key questions and found areas of good practice. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. The assessment of these quality statements indicated areas of significant improvement overall with some minor shortfalls which the provider was continuing to work on in their service improvement plan. Our overall rating has improved to ‘Good’. 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.

About the service

Wollaton Park Care Home is situated in the Wollaton Park area of Nottingham. Providing accommodation with personal care for up to 40 people, some of whom may live with dementia. At the time of our inspection there were 37 people using the service.

People’s experience of the service and what we found:

The service was not well-led. There was a lack of effective governance systems in place to ensure the service was meeting regulations. The provider had not maintained oversight of the service to ensure that people's safety was maintained. There was a lack of effective systems in place to ensure the environment and equipment was safe and clean. Poor infection control practices at the service placed people at risk of harm.

Records relating to people's care did not always contain information and guidance to enable staff to provide the safe care and support people required. Risk management was not in place for some people who were at a high risk of falls and people who may present a risk to others from their behaviour.

Not all staff received training in areas relevant to people's healthcare needs and completed an induction when they started work at the service. People were left at risk of being supported by insufficient numbers of staff without the skills and knowledge to support their identified needs.

We received mixed feedback from both people, and their relatives regarding their opinions of the quality of the care and support they received.

People and their relatives told us staff were kind and caring. We observed positive interactions between staff and people using the service during the inspection.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People were not fully supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

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 8 April 2019).

Why we inspected

The inspection was prompted in part due to concerns received about infection control. A decision was made for us to inspect and examine those risks.

You can see what action we have asked the provider to take at the end of this full report. Please see the Safe and Well Led sections of this full report.

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

Enforcement

We have identified breaches in relation to safe care and treatment; infection control; person-centred care; staffing and good governance at this inspection. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow Up

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

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.

Special Measures

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

About the service: Wollaton Park Care Home is owned by Medina View Limited. It is situated in the Wollaton Park area of Nottingham. Providing care for up to 40 people with dementia and residential care. 33 people were living in the home at the time of our inspection.

People’s experience of using this service:

The service met the characteristics of Good in most areas; more information is in the full report.

There were audits in place to review the quality of care however these were not used to identify and mitigate shortfalls. Communication between staff needed to be improved to ensure people received the correct support.

Staff knew how to recognise abuse and understood the actions they should take to report concerns. There were risk assessments and management plans in place to support people safely. Medicines were stored, recorded and administered correctly to ensure people had the medicines which were prescribed for them. There were sufficient suitably recruited, trained and supported staff who were aware of infection control requirements to protect people from harm.

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. Staff received training and support to provide care effectively. People were provided with a variety of foods, presented in a way that met their needs and plentiful drinks to maintain their wellbeing. People were supported by health care professionals to sustain their health.

Staff provided kind, compassionate and considerate care. People were given opportunities to voice their opinions and were confident that if they raised a complaint it would be investigated thoroughly.

Relatives were welcomed and involved. People were given opportunities to take part in social activities inside and outside of the home. Staff knew people well and care was reviewed with people to ensure their care reflected the level of support they required.

There were opportunities for people to voice their opinions of the service at meetings and through satisfaction surveys. People were aware who the registered manager was, and staff felt supported.

Rating at last inspection: Good: report published on 9 September 2016.

Why we inspected: This was a scheduled inspection based on previous rating.

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