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CQC report explained · a nursing home, run by Medina View

Wollaton Park Care Home

2A Lambourne Drive, Wollaton, Nottingham, NG8 1GR

Goodpublished 13 September 2024, 23 months ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The latest report, explained

What inspectors found, February 2024

Rated Inadequate and placed in special measures; inspectors found serious safety, staffing, infection control and management problems.

Inspectors made an unannounced visit on 28 and 29 November 2023. They spoke with people, relatives, staff and a visiting health professional. They observed care and checked care records, medicine records, staff files and management records.

They found people were at risk from poor infection control, unsafe equipment, faulty call bells, gaps in risk assessments and too few staff in some areas. Some staff did not have all the training needed for people's health needs. Care records did not always give staff clear guidance.

There were also serious weaknesses in how the home was managed. The provider had not identified or acted on repeated problems, including incidents, safeguarding concerns, staffing, the environment and infection control. The overall rating fell from Good in 2019 to Inadequate.

The home is in special measures. CQC will keep it under review, ask for an action plan and work with the local authority to monitor progress. If significant improvements are not made, CQC says it may take action to prevent the provider from operating the home.

What inspectors praised
  • Kind staff interactions

    People and relatives gave positive feedback about staff being kind. Inspectors also observed warm and positive interactions during the visit.

    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.from the report
  • Some medicine procedures

    Inspectors found that most medicine administration, controlled drug storage and staff competency checks were being managed safely.

    Medicines were received, administered and disposed of safely.from the report
  • Access to healthcare

    The home arranged visits and support from healthcare professionals, including GPs, dentists, opticians and dieticians.

    The provider ensured the service worked effectively within and across organisations to deliver effective care, support and treatment.from the report
  • Staff support from the manager

    Staff gave positive feedback about the registered manager and said they could approach them for support.

    The registered manager is so approachable, you can go to them about anything, they take the time to talk to people.from the report
What inspectors were concerned about
  • Poor infection control and environment

    serious

    Some rooms and equipment were unhygienic, worn or difficult to clean. Inspectors said this exposed people, relatives and visitors to infection risks.

    Areas of the home were in a state of disrepair meaning it could not be cleaned effectively.from the report
  • Risks were not managed

    serious

    Care plans and risk assessments did not always protect people from falls, choking or behaviours that could harm themselves or others. A faulty call bell left one person without a way to call for help.

    This lack of action by the provider left people at risk of avoidable harm.from the report
  • Not enough staff

    serious

    Staffing levels and deployment were not always enough to supervise people or meet their needs. Inspectors also found gaps in recruitment checks.

    The provider did not always ensure there were sufficient numbers of suitable staff.from the report
  • Care was not always person-centred

    serious

    Some people's needs were not properly assessed or updated. One person did not have an effective seizure care plan after suffering a serious injury.

    The provider failed to ensure people's needs were assessed and care was delivered in a person-centred way.from the report
  • Weak management oversight

    serious

    The provider's checks did not identify or solve important problems. Safeguarding referrals and information sharing were also not always completed.

    The provider did not monitor the quality of care provided in order to drive improvements.from the report
  • Limited visits and activities

    needs fixing

    Visitors could not always visit when they wished, and relatives were restricted from communal areas. There were no structured activities when the activity co-ordinator was absent.

    Insufficient systems were in place to enable people to receive visitors when they wished.from the report
Questions to ask them, based on this report
  1. 01What has been done to remove the infection risks, clean the home properly and replace worn or soiled equipment?
  2. 02Are all call bells now working, and what are the current response times, especially during busy periods?
  3. 03How many staff are on duty in each area, and how do you check that staffing meets each person's needs?
  4. 04Have every person's risk assessments and care plans been reviewed, including plans for choking, falls, seizures and behaviours that may put people at risk?
  5. 05What evidence can you show that the action plan is being followed and that improvements are being checked over time?

This was an unannounced full inspection of the home, with ratings given for Safe, Effective and Well-led; Caring and Responsive were not rated in this report. This explanation was written from the published report of 13 February 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 Wollaton Park Care Home

4 rated inspections over 9 years: the service has slipped, from Requires improvement to Inadequate.

  1. February 2024Inadequatecurrent ratingdown from Good
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Inadequate

    Read what inspectors found at Wollaton Park Care Home

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodWell-led: Requires improvement

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

  3. September 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2012

    Registered with the Care Quality Commission on 13 June 2012.

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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