Wollaton Park Care Home

We assessed 8 quality statements in the safe key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was inadequate. The assessment of these areas indicated some areas of significant improvement and good practice with some concerns which remained since the last inspection, our rating for the key question Safe has improved to good. People and those important to them were supported to understand safeguarding and how to raise concerns when they didn’t feel safe. Staff understood their duty to protect people from abuse and knew how and when to report any concerns they had to managers. When concerns had been raised, managers reported these promptly to the relevant agencies and worked proactively with them, to make sure timely action was taken to safeguard people from further risk. Safety risks to people were managed well. Managers assessed and reviewed safety risks to people and made sure people, and those important to them, were involved in making decisions about how they wished to be supported to stay safe. There were enough staff to support people with their needs. Managers reviewed staffing levels regularly to make sure there were always enough suitably skilled and experienced staff on duty. Staff received relevant training to meet the range of people’s needs at the service. Staff received support through supervision and appraisal to support their continuous learning and improve their working practice. Managers made sure recruitment checks were undertaken on all staff to ensure only those individuals that were deemed suitable and fit, would be employed to support people at the service.

We assessed 6 quality statements in the effective key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. The assessment of these areas indicated areas of good practice since the last inspection, our rating for the key question has improved to good. Peoples needs and rights were supported. Peoples care and treatment was effective due to their health, care, well-being, and communication needs being assessed with them. Peoples care plans were kept up to date with any assessments completed in a timely manner. Staff were aware people’s preferences and respected these in a person-centred way. People were aware of their rights around care and treatment. Staff have a good knowledge of the mental capacity act, including capacity and consent. Staff were aware of how to support someone with fluctuating capacity.

We assessed 1 quality statement in the caring key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. The assessment of these areas indicated areas of good practice since the last inspection, our rating for the key question remains good. People were supported to have choice and control and make decisions about how their support was provided. They were encouraged and helped by staff to do as much as they could for themselves, to maintain their independence. People were supported to understand their rights and how the service would make sure these were respected. People’s friends and families were free to visit them with no restrictions. People were encouraged to take part in activities offered at the service, which helped support their independence, health and well-being.

We assessed 2 quality statements in the responsive key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. The assessment of these areas indicated areas of good practice since the last inspection, our rating for the key question remains good. People were supported to live in a safe, inclusive environment in which they were treated fairly and free from the fear of being discriminated against. People were supported to understand their equality and human rights and how staff and managers would respect these. Managers made sure staff were given appropriate training and supported to treat people equally and fairly and reduce the risk of them being excluded from receiving care and support they were entitled to. Managers used people’s feedback to improve care to reduce any barriers people might experience due to their protected characteristics.

We assessed 7 quality statements in the well-led key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was inadequate. The assessment of these areas indicated areas of good practice and significant improvement since the last inspection, our rating for the key question has improved to good. There were clear and effective governance, management and accountability arrangements. Staff understood their role and responsibilities. Management accounted for the actions, behaviours and performance of staff. The systems to manage current and future performance and risks to the quality of the service took a proportionate approach to managing risk. Data or notifications were consistently submitted to external organisations as required. There were robust arrangements for the availability, integrity and confidentiality of data, records and data management systems. Information was used effectively to monitor and improve the quality of care. Leaders implemented relevant recognised standards, best practices or equivalents to improve equity in experience and outcomes for people using services and tackle known inequalities.