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CQC report explained · a nursing home

What the CQC found at Wilmington Manor Care Home

Goodpublished 29 November 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was managing infection risks, including visiting, social distancing, PPE, testing, cleaning and infection outbreaks.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors found good infection prevention and control arrangements.

Inspectors visited the home on 8 April 2021. This was an announced, targeted inspection focused on infection prevention and control during the COVID-19 pandemic.

They found good arrangements for visiting, including appointments, risk assessments, rapid testing for one designated visitor and a visitor pod. Staff had enough protective equipment and were using it correctly.

The home had limits on communal room capacity, a one-way system, cleaning schedules and regular infection control audits. Inspectors said they were assured about infection control in all the areas they checked.

The service was inspected but not rated. This means the report does not give a quality rating for the home or a rating for most of the five areas.

What inspectors praised
  • Controlled visiting

    Visits were arranged in advance, with a risk assessment before the visit. One designated visitor could have face-to-face visits after a negative rapid COVID-19 test, while other visitors could use a visitor pod.

    “All visits were by appointment only and a pre-visit risk assessment was completed.” from the report
  • Protective equipment

    The home had enough PPE for current and future demand. Staff were using it correctly and had completed infection control and hand hygiene training.

    “The service had enough personal protective equipment (PPE) to meet current and future demand.” from the report
  • Clean environment

    The home had cleaning schedules that were up to date. Frequently touched areas and equipment were identified for extra cleaning or showed that they had been sanitised.

    “The service looked clean and there were various cleaning schedules in place which had been completed and were up to date.” from the report
  • Infection control planning

    The home had up-to-date infection control and COVID-19 policies, risk assessments and a business continuity plan. Monthly infection control audits were completed.

    “The service had up-to-date policies for infection control and specifically for COVID-19, including risk assessments and a business continuity plan.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your visiting arrangements changed since the inspection on 8 April 2021?
  2. 02How do you now check that PPE, cleaning and hand hygiene procedures are followed?
  3. 03How often are infection control audits completed, and can families see the results?
  4. 04What arrangements are in place if there is an infection outbreak?
  5. 05When was the home last inspected for areas not covered by this targeted inspection?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated and the report does not cover the wider quality of care. This explanation was written from the published report of 20 April 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.

An earlier report, explained

What inspectors found, November 2019

Wilmington Manor Care Home was rated Good; inspectors found safe, kind and personalised care, with the Safe rating improved from Requires Improvement.

This was an unannounced planned inspection. Inspectors observed care, spoke with people, relatives, staff and a healthcare professional, and checked care, medicines, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine systems, suitable training, good access to healthcare and care that respected people's choices and independence.

People and relatives spoke positively about the care. The home had systems for complaints, quality checks and learning from incidents. No legal breaches or enforcement action were reported.

What inspectors praised
  • Safe medicines

    Medicine systems were reliable, and staff administering medicines had been assessed as competent.

    “Medicines were managed and administered safely. There were reliable arrangements for ordering, administering and disposing of medicines.” from the report
  • Enough staff

    People said staff responded promptly, and inspectors observed call bells being answered quickly.

    “People continued to be supported by enough staff to meet their needs.” from the report
  • Kind and respectful care

    People and relatives described caring relationships. Staff respected privacy, dignity, preferences and people's involvement in decisions.

    “People received care from staff who developed positive, caring and compassionate relationships with them.” from the report
  • Personalised support

    Care plans included people's likes, dislikes and emotional needs. Activities were varied and people could choose how much they took part.

    “The programme was varied and inclusive of all as people were supported to participate as much as they wanted and were able.” from the report
  • Open management

    The management team was visible and approachable. It used audits, meetings and incident reviews to monitor quality and make improvements.

    “The management team promoted the ethos of honesty, learned from mistakes and admitted when things had gone wrong.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you make sure my relative receives medicines in a form they can swallow safely?
  2. 02How many staff will be available at the times my relative needs the most help, and how quickly are call bells usually answered?
  3. 03How will you assess and manage my relative's risks of choking, falls, malnutrition or pressure sores?
  4. 04What activities and one-to-one time would be available for my relative if they did not want to join group activities?
  5. 05How would you record and review my relative's wishes about future and end of life care?

This was an unannounced planned inspection covering all five CQC questions, including both the premises and the care provided; the previous overall rating was Good, published on 14 June 2017. This explanation was written from the published report of 29 November 2019 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 Wilmington Manor Care Home

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Wilmington Manor Care Home →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Wilmington Manor Care Home →

  3. June 2017Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2017Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 25 November 2010.

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.

Next steps

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