28 November 2023
During an inspection looking at part of 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.