The Care Quality Commission (CQC) has rated Wollaton Park Care Home, Nottingham, inadequate and placed it into special measures to protect people, following an inspection in November.
Wollaton Park Care Home, run by Medina View Limited, is a residential care home 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.
This inspection was prompted in part due to concerns received about infection control.
Following this inspection, the service’s overall rating has dropped from good to inadequate, as has the rating for being safe. The well-led rating has dropped from requires improvement to inadequate. The rating for effective has dropped from good to requires improvement. As this was a focused inspection, caring and responsive were not included in this inspection and remain rated good from their previous inspection.
The service is now in special measures, which means it will be kept under close review by CQC to keep people safe and it will be monitored to check sufficient improvements have been made.
Greg Rielly, CQC deputy director of operations in the midlands, said:
“When we inspected Wollaton Park Care Home, we were disappointed to see leaders didn’t understand the issues they faced which resulted in people receiving a poor level of care. We had serious concerns over their ineffective systems, poor infection prevention and control, as well as the lack of staff training which was putting people at risk of harm.
“This wasn’t a pleasant place to live for the people who called it home. We saw some areas of the home needed repairs and deep cleaning, especially people's bedrooms and communal spaces. As well as being an unpleasant place to spend time, the unhygienic environment also put people at risk of infection and damaged furniture put them at risk of harm.
“We were also concerned about people’s safety as leaders hadn’t put effective systems in place to ensure people’s individual care needs were met. One person had a high risk of falls, however the call bell alarm in their bedroom hadn’t worked for three months leaving them unable to call for support when they wanted to move around. This put them at an increased risk of falls.
“We were also concerned as the service didn’t always make sure staff had the skills, knowledge and experience to provide the care and support people needed. Staff training wasn’t up to date or relevant, for example, specific training in Autism, mental health and epilepsy hadn’t been completed, meaning people weren’t receiving care tailored to their needs.
“We have told Wollaton Park Care Home where we expect to see rapid and widespread improvements and will continue to monitor them closely to keep people safe while this happens. We will return to check on their progress and won’t hesitate to take action if people are not receiving the care they have a right to expect.”
Inspectors found:
- There was a lack of effective systems in place to ensure the service was meeting regulations and providing safe care
- 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 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.
However,
- 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.
The report will be published on CQC’s website in the next few days.