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CQC report explained · a nursing home, run by Interhaze

Wheatsheaf Court Care Home

44 Sheaf Street, Daventry, NN11 4AB

Requires improvementpublished 6 April 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. There were enough staff, medicines were managed safely, recruitment checks were completed and the home was clean.
Effective?
Requires improvement
People did not always receive personalised support at mealtimes. Inspectors saw people left while being helped to eat, unsuitable equipment missing and support given at a pace that did not allow safe swallowing.
Caring?
Requires improvement
Are people treated with kindness and dignity?
Responsive?
Requires improvement
Is care built around the person? Care plans, activities, complaints.
Well-led?
Requires improvement
The systems used to monitor and improve care were not effective enough. They had not identified or resolved continuing poor support at mealtimes, including missing equipment and cold meals.
The latest report, explained

What inspectors found, April 2024

Wheatsheaf Court Care Home is Rated Requires Improvement; inspectors found safe care but continuing problems with mealtimes and oversight.

This was an unannounced inspection on 22 and 23 November 2023. Inspectors spoke with people, relatives, staff and a health professional. They also reviewed care records, medicine records, quality checks and staff recruitment files.

The home was rated Good for Safe. Inspectors found enough staff, safe recruitment, appropriate medicine arrangements and systems to protect people from harm. The home was clean, and staff responded to accidents and incidents.

The home was rated Requires Improvement for Effective and Well-led. People did not always receive the individual support they needed at mealtimes. Inspectors found that checks and management systems had not fixed these problems. The home remains in breach of regulations 9 and 17.

What inspectors praised
  • Safety and medicines

    Inspectors found that people received medicines as prescribed and that risks had been assessed. Staff had safeguarding and medicines training.

    The system for managing medicines ensured people were given the right dose at the right time.from the report
  • Staffing

    There were enough staff to meet people's needs during the inspection. The provider also completed recruitment checks, including references and DBS checks.

    There were enough staff to keep people safe.from the report
  • Health support

    People were supported to see health professionals when needed. Staff recorded health concerns and the action taken.

    People were supported by staff to access healthcare services when required.from the report
  • Choice and consent

    Staff asked for permission before providing day-to-day care and supported people to make their own decisions. The provider was working in line with the Mental Capacity Act.

    Throughout the inspection, we heard staff ask people for their permission when offering care and supportfrom the report
What inspectors were concerned about
  • Mealtime support

    serious

    People did not always receive individual support that met their social and nutritional needs. Inspectors saw people left during meals, missing adaptive equipment and food being given too quickly.

    During an observation of the mealtime service we saw the lunch service was chaotic, people did not receive individualised support and their dignity was not protected.from the report
  • Poor oversight

    serious

    Management checks did not identify or correct continuing problems with mealtime care. Some people did not have the equipment they needed, and some meals were cold.

    The oversight and governance of the service was not effectively managed.from the report
  • Staff practice and induction

    needs fixing

    Although staff had received training, inspectors did not always see this reflected in practice. New and agency staff were sometimes shadowing workers who were not following good practice.

    New staff start off on the wrong foot because they are not shadowing staff who deliver care how it should be.from the report
Questions to ask them, based on this report
  1. 01What specific changes have been made to support each person safely and with dignity at mealtimes?
  2. 02How do you make sure plate guards, adaptive cutlery and other required equipment are available before meals?
  3. 03How do managers check that people are not left while being helped to eat?
  4. 04How are new and agency staff supervised so they learn good person-centred practice?
  5. 05What progress has been made on the action plan requested by the CQC?

This inspection checked whether previous legal requirements were being met and rated Safe, Effective and Well-led; ratings for Caring and Responsive were not given in this report. This explanation was written from the published report of 6 April 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Wheatsheaf Court Care Home

6 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. April 2024Requires improvementcurrent ratingstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Wheatsheaf Court Care Home

  2. May 2023Requires improvement
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. September 2019Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. February 2019Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. November 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. October 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. January 2011

    Registered with the Care Quality Commission on 14 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

Other services run by Interhaze Limited

6 other services on the CQC register. A pattern across a group tells you more than one report.

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