CQC report explained · a nursing home
What the CQC found at Wilford View Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, July 2022
Wilford View Care Home was rated Requires Improvement; inspectors found risks, medicines records and management systems were not always handled safely.
This was an unannounced focused inspection on 23 May 2022. Two inspectors visited the home, an expert by experience called relatives, and inspectors spoke with people, relatives and staff. They reviewed care records, medicines records, recruitment files and management checks.
The home was rated Requires Improvement overall. Safe, caring and well-led were all rated Requires Improvement. Inspectors found unclear or incomplete risk assessments, poor recording of some care, medicines instructions that were not always clear, incorrect use of protective equipment and weak oversight by managers.
There were also some positive findings. Staffing levels were enough to meet basic care needs, staff recruitment checks were completed, people were given day-to-day choices and staff were observed treating people warmly. The provider took action after the inspection, including updating care plans and appointing an experienced manager.
This was a focused inspection of Safe, Caring and Well-led. The other key questions were not inspected, and their previous ratings were used when calculating the overall rating.
Basic staffing needs
Inspectors found there were enough staff to meet people's basic care needs, and most people said they did not usually wait long for help.
“Whilst there was enough staff to meet people's basic care needs, there was a high staff turnover and a high reliance on agency staff.” from the report
Safe recruitment
The recruitment records reviewed showed that required checks were completed before staff started work.
“Recruitment checks, including Disclosure and Barring Service (DBS) checks were completed before staff commenced” from the report
Warm interactions
Inspectors saw staff engaging with people in a caring and warm way during the visit.
“During the inspection we observed staff engaging with people in a caring and warm manner.” from the report
Day-to-day choices
People were offered ordinary choices about meals and where they spent their time.
“During the inspection we observed people being given day to day choices such as what they wanted to eat and where they wanted to spend their time.” from the report
Unclear risk plans
seriousSome risk assessments did not explain how staff should reduce or manage risks. This included swallowing difficulties, weight loss, pressure sores and catheter care.
“Risk assessments did not include guidance for staff on how to manage them.” from the report
Lessons not applied
seriousThe home did not consistently learn from incidents. Inspectors found that guidance was still missing for catheter care after a previous safeguarding incident involving poor catheter care.
“lessons learnt from the substantiated safeguarding incident had not been applied.” from the report
Medicines and cream records
seriousSome medicines care plans were not clear, including when medicine needed to be crushed. Records also did not consistently show that skin creams had been applied.
“People's medication care plans were not always clear.” from the report
Infection control
seriousSome staff were still wearing protective equipment incorrectly. Inspectors said this increased the risk of infections spreading.
“At the time of our inspection, we found some staff continued to wear PPE incorrectly.” from the report
Staff and manager turnover
needs fixingHigh turnover and reliance on agency staff made it harder for people and relatives to build relationships with staff. Frequent management changes also caused concern and stress.
“This prevented people and their relatives from building rapport with the staff.” from the report
Limited involvement
needs fixingPeople did not always feel listened to, and regular meetings were not taking place. Inspectors also found that personal information had been left in a communal area.
“People told us they did not feel actively involved in the running of the service and they had limited opportunities to share their feedback.” from the report
- 01What has changed in the care plans for people at risk of choking, pressure sores, weight loss or catheter-related complications?
- 02How do you now check that medicines are given as directed and that prescribed creams are applied and recorded?
- 03What are you doing to reduce agency use and staff turnover, so residents can have more consistent carers?
- 04Who is managing the home now, and how are quality checks used to find and fix problems?
- 05How can residents and relatives give feedback, attend meetings and be told what action has been taken?
This was an unannounced focused inspection of Safe, Caring and Well-led only; Effective and Responsive were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 15 July 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, January 2022
Wilford View Care Home was inspected but not rated; inspectors found good infection control arrangements during a COVID-19 outbreak.
This was an unannounced, targeted inspection on 12 January 2022. It focused on infection prevention and control during a COVID-19 outbreak, and on whether staffing pressures were affecting the home.
Inspectors found that visitors were tested and supported to use face coverings and handwashing. People were admitted safely, staff used protective equipment correctly, and the home had enhanced cleaning and testing arrangements.
The home was clean and uncluttered. People were supported to keep in touch with loved ones through phone calls, video calls and window visits during the outbreak.
The overall service was not rated. The Safe question was also recorded as inspected but not rated, so this report does not provide a full judgement on the quality of care across all five areas.
Visitor infection controls
Visitors were asked to use face coverings, wash their hands and complete a lateral flow test. Visiting health professionals were also asked to show their COVID-19 vaccination status.
“The provider followed the government guidelines to protect visitors from catching and spreading infection.” from the report
Safe admissions and isolation
New residents were tested before admission and, whenever possible, supported to isolate in their own rooms for 14 days.
“People were admitted into the service safely. The provider ensured people had been tested for COVID-19 before admitting them” from the report
Clean environment
Inspectors found the home clean and hygienic, with enhanced cleaning of high-touch areas and uncluttered spaces.
“The home looked clean and hygienic. There were cleaning schedules in place, including enhanced cleaning of high touch areas” from the report
Keeping people in contact
During the outbreak, staff helped residents stay in touch with loved ones through calls, video calls and window visits.
“During the active COVID-19 outbreak staff supported people to maintain contact with their loved ones via phone calls, video calls and window visits.” from the report
Inspectors raised no specific concerns in this report.
- 01How did COVID-19-related staffing pressures affect people's care and activities during the outbreak?
- 02What infection prevention and control arrangements are currently used for visitors and visiting professionals?
- 03How are new residents tested and supported if they need to isolate after admission?
- 04How are COVID-19 symptoms identified and how quickly are residents and staff tested?
- 05How can residents keep in contact with relatives if there is another outbreak or visiting restriction?
This was a targeted inspection of infection prevention and control, with questions about staffing pressures; it did not provide ratings for the home's overall quality or the other four questions. This explanation was written from the published report of 19 January 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.
Every inspection of Wilford View Care Home
2 rated inspections over a year: the service has slipped, from Good to Requires improvement.
- July 2022Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- January 2022Inspected but not ratedSafe: Inspected but not rated
- May 2021GoodSafe: Requires improvementCaring: GoodWell-led: Good
- November 2019
Registered with the Care Quality Commission on 18 November 2019.
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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