CQC report explained · a nursing home
What the CQC found at Weyspring Park
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, safe medicines systems, suitable risk assessments and effective infection control.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found strong leadership, robust audits and accurate care records. The provider had followed its action plan and met the conditions placed on its registration.
What inspectors found, November 2022
Rated Good; inspectors found safe, well-managed care, with improvements since the previous Requires Improvement rating.
This was an unannounced focused inspection on 9 November 2022. Two inspectors and an Expert by Experience reviewed records, the premises and communal areas. They spoke with seven people, ten staff members, 12 relatives and five visiting professionals.
The home was rated Good overall, with Safe and Well-led both rated Good. Inspectors found enough staff, safe medicines systems, suitable risk assessments and effective infection control. Care plans were individual and staff worked with health professionals to meet people's needs.
This inspection only assessed Safe and Well-led. The other areas were not inspected and their previous ratings were used to calculate the overall rating. The overall rating improved from Requires Improvement after earlier concerns and enforcement conditions were addressed.
Safe staffing
Inspectors found enough staff to meet people's needs. Call bells were answered promptly and staff spent time supporting people.
“There were enough staff to meet people's needs.” from the report
Medicines
Medicines were administered by trained nurses and records were audited. Sedative medicines were reviewed, with some reduced or stopped.
“People received their medicines safely.” from the report
Individual care
Care plans reflected people's needs and preferences. Staff used personalised approaches to support people with complex behaviours and psychological needs.
“People's care plans were individualised and reflected their needs and personal preferences.” from the report
Management and oversight
The home had quality checks, accurate records and clear leadership. Inspectors found sustained improvements after the previous action plan.
“At this inspection the provider had followed their action plan and there were sustained improvements to the way the service was operated and managed.” from the report
Previous regulatory concerns
seriousEarlier inspections found breaches and led to conditions being placed on the provider's registration. The current inspection says these conditions had been met, but this history is important when asking how improvements will be maintained.
“Breaches of legal requirements were found, and conditions were placed on the providers registration” from the report
- 01How will you make sure the improvements made after the 2021 enforcement conditions continue?
- 02How are medicines records checked, and what happens if an omission or error is found?
- 03How do you decide how many staff are needed for each shift, and how do you cover unexpected absence?
- 04How are people's electronic care plans kept accurate and updated when their needs change?
- 05What infection control and visiting arrangements would apply if there was an outbreak?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings carried over from the last inspection. This explanation was written from the published report of 26 November 2022 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.
What inspectors found, December 2021
Weyspring Park is rated Requires Improvement; inspectors found clear progress since an Inadequate rating, but some safety and management improvements were not yet fully established.
Inspectors made an unannounced focused inspection visit on 9 November 2021. They spoke with people, relatives and staff, and checked care records, medicines, staff files and management records.
The home had improved its safeguarding, behaviour support, medicines systems, staff training and monitoring of accidents. People said they felt safe and described staff as kind, friendly and respectful. Inspectors also found good support with consent, healthcare, food and drink.
The overall rating improved from Inadequate to Requires Improvement. The home was no longer in Special Measures and was no longer in breach of the regulations identified at the previous inspection. However, inspectors said some improvements still needed to become part of everyday practice.
People felt safe
People and relatives told inspectors they felt safe with the staff and care. Safeguarding training and reporting processes were in place.
“People and relatives told us they felt safe with the staff and care provided.” from the report
Kind and respectful care
Inspectors saw warm interactions. People and relatives described staff as kind, compassionate and respectful.
“People were treated with kindness and compassion and staff were friendly and respectful.” from the report
Improved behaviour support
Staff had received positive behaviour support training. Personalised plans helped staff support people safely and reduced the need for some PRN medicines.
“The behaviour support plans we reviewed described each person's behaviour and guided staff to consider the reasons for it and the support the person would require.” from the report
Better medicines systems
Medicine audits, PRN protocols and reviews had improved. Inspectors found medicines sampled were in date and there was no excess stock.
“At this inspection we found the provider had taken measures to improve medicine practices.” from the report
Food and health support
People had enough food and drink, with support adapted to their needs. Records showed access to routine and specialist healthcare.
“Nutrition and hydration needs were met, and people had enough to eat and drink and.” from the report
Medicines were not always personalised
needs fixingBreakfast medicines were still being given at 11.15am during the inspection. Some people received medicines in the lounge in front of others, and the process was described as task focused.
“On the day of inspection, we observed that the breakfast medicines were still being administered at 11.15am.” from the report
Improvements needed to become routine
needs fixingCare plans, risk assessments and management systems had improved, but inspectors said they were not yet fully established in everyday practice. This could lead to inconsistent care or leadership.
“New processes had been implemented and improvements had been made, however these needed to be embedded and sustained.” from the report
Dementia-friendly environment
minorThe building had some helpful signs and was accessible, but inspectors said further environmental improvements would benefit people living with dementia.
“At this inspection further improvements in this area would benefit people living with dementia.” from the report
- 01How do you check that medicines are given at the correct time and privately, rather than in front of other people?
- 02How do you make sure care plans and risk assessments stay personalised and up to date?
- 03What checks are made when a new agency nurse starts a shift, particularly during medicines rounds?
- 04How are behaviour support plans reviewed, and how do you monitor the use of PRN or benzodiazepine medicines?
- 05What further changes are planned to make the environment more suitable for people living with dementia?
This was an unannounced focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected and previous ratings for questions not examined were used in the overall rating. This explanation was written from the published report of 30 December 2021 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.
Every inspection of Weyspring Park
4 rated inspections over 4 years: the service has held its Good rating throughout.
- November 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2021Requires improvementup from InadequateSafe: Requires improvementWell-led: Requires improvement
- October 2021Inadequatedown from GoodSafe: InadequateEffective: Requires improvementWell-led: Inadequate
- December 2018GoodSafe: GoodEffective: GoodWell-led: Good
- December 2017
Registered with the Care Quality Commission on 14 December 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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