Bingley Wingfield Nursing Home

Updated 15 July 2022

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 Health and Social Care Act 2008.

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 three inspectors, including a medicines inspector, and an Expert 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.

Service and service type

Bingley Wingfield Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bingley Wingfield Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the CQC to manage the service. 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.

At the time of our inspection the manager had begun their application to register with CQC.

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. We sought feedback from the local authority commissioners, the local safeguarding team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, nurse, senior care worker and care workers.

We reviewed a range of records. This included five people's care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the provider and registered manager to validate evidence found.

Updated 15 July 2022

About the service

Bingley Wingfield Nursing Home is a care home providing personal and nursing care to older people, some of whom may be living with dementia, mental health conditions and/or physical disability. The service accommodates up to 44 people in one adapted building. At the time of the inspection 27 people were using the service.

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

The management of risk had improved and risks to people were assessed and reviewed on a regular basis. We have made a recommendation about the management of thickeners.

Systems were now in place for the safe handling, administration and storage of medicines. People’s individual choices and needs were considered when administering medicines.

Safe recruitment practices were now followed when employing new staff. Recruitment files were well organised and contained appropriate background checks. There were enough staff deployed to meet people's needs safely. However, we received mixed feedback from people and their relatives regarding staffing levels, particularly on evenings and weekends.

Systems were in place to safeguard people from abuse. Staff received training in safeguarding and were able to demonstrate a good understanding of safeguarding people from abuse. People told us they felt safe. Infection control measures were in place.

At the time of our inspection, a new home manager had recently been appointed and staff spoke positively of the support they received from management. Systems were in place to obtain feedback from people and staff, which was used to improve the quality of the service.

Quality oversight had improved at this inspection. The provider had implemented systems of audit, to assess, monitor and improve the quality of care. We found actions for improvement were being identified and completed in a timely manner. The service worked effectively in partnership with other agencies, to ensure good outcomes for people.

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.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 7 January 2022) and there were breaches of regulation. The provider 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.

This service has been in Special Measures since 14 May 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

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 carried out an unannounced focused inspection of this service on 9 November 2021. Breaches of legal requirements were found in relation to safe care and treatment, good governance and fit and proper persons employed. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

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

Follow up

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