CQC report explained · a nursing home
What the CQC found at Wilton House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, people were protected from abuse, medicines were given safely and there were enough suitable staff. The inspection had been prompted partly by staffing concerns, but no evidence of harm was found.
- 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
- The home had systems to monitor quality, act on improvements and learn from accidents, incidents, complaints and safeguarding concerns. People and staff were listened to, and the culture was described as positive and open.
What inspectors found, December 2023
Wilton House Nursing Home was rated Good; inspectors found people safe, adequately supported and well-led.
This was an unannounced inspection over two days. Two inspectors and an Expert by Experience spoke with four people, three relatives and 13 staff. They also checked care records, medicines records, recruitment files and management records.
The inspection was prompted partly by concerns about staffing. Inspectors found enough suitable staff and found no evidence that people were at risk of harm from this concern. Risks were assessed, medicines were given safely and staff understood how to report abuse.
The home was rated Good for Safe and Good for Well-led. Leaders had systems to check quality, learn from incidents and make improvements. People and relatives spoke positively about the care.
Protection from harm
Staff had safeguarding training and understood their duty to report concerns. The home also reviewed accidents and incidents to look for lessons.
“People were safeguarded from abuse and avoidable harm. Staff had received appropriate training and understood their responsibility to report any safeguarding concerns.” from the report
Staffing and recruitment
Inspectors found enough suitable staff to meet people's needs. Recruitment checks were completed to help ensure staff were appropriate for the work.
“The provider ensured there were sufficient numbers of suitable staff.” from the report
Safe medicines
Medicines were administered by staff who had been trained and assessed as competent.
“Only staff who had received the necessary training and were deemed competent were permitted to administer medicines.” from the report
Open management
Leaders had quality checks and used feedback and incidents to improve care. Staff said they felt supported and able to raise concerns.
“There was a positive and open culture at the service. Staff felt supported by management and able to share ideas or raise concerns.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough suitably trained staff on every shift?
- 02How will you assess and regularly review my relative's risks and care plans?
- 03Who will give my relative their medicines, and how do you check that staff remain competent?
- 04How will you involve me and my relative in giving feedback or raising concerns?
- 05How do you record and act on accidents, incidents, complaints or safeguarding concerns?
This inspection focused on Safe and Well-led after concerns about staffing; the report does not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 15 December 2023 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, June 2018
Wilton House Nursing Home was rated Good; inspectors found kind, safe care, with some training and record-keeping issues.
The unannounced inspection took place on 23 May and 5 June 2018. It followed an incident with a serious impact on a resident and focused particularly on risks linked to nutrition and special diets. Inspectors spoke with residents, relatives, staff and a health professional. They also reviewed care, medicine, recruitment, training and management records.
The home remained Good overall and was rated Good in all five areas. Inspectors found that nutritional risks were assessed, special diets were provided correctly and staff understood how to reduce choking risks. They also found safe medicines management, suitable staffing, clean premises and appropriate checks on equipment and the environment.
People were treated with dignity and respect. Care plans reflected people's preferences, health needs and end of life wishes. People had access to activities, community links and healthcare. The registered manager was described as approachable, and complaints were investigated.
Special diet safety
Inspectors found that people at risk of choking had current assessments and care plans. Kitchen staff could access the information and understood people's dietary needs.
“Each file we reviewed had a choking risk assessment and a dietary needs care plan in place.” from the report
Respectful care
Staff respected privacy and dignity, offered choices and supported people to remain as independent as possible.
“We observed genuine relationships between people and staff.” from the report
Personalised support
Care plans included people's likes, dislikes, histories, routines and preferred ways of being addressed. End of life wishes were also recorded.
“Care plans were personalised to include people's likes, dislikes and preferences.” from the report
Activities and community links
People could take part in activities inside and outside the home, including visits to local places and contact with community groups.
“We saw that people had access to stimulating and varied activities.” from the report
Open management
People, relatives and staff described the management as approachable and supportive. The home used audits and monitoring to identify issues and share learning.
“We found the provider had a quality assurance system in place.” from the report
Nurse training records
needs fixingThe training matrix did not clearly show which specialised techniques nurses had completed training in or when. The manager arranged refresher training and additional competency checks during the inspection.
“We found that the training matrix did not detail what specialised techniques nurses had received recent training in.” from the report
Bedrail signatures
needs fixingSome bedrail assessments had not been signed. The manager said the documents would be reviewed and signed as soon as possible.
“We spoke to the registered manager regarding care plan audits as we found bedrail assessments had not always been signed.” from the report
- 01How do you now check that each person's special diet and food texture are correct at every meal?
- 02How do you record and check nurses' training and competency in specialised techniques?
- 03Have all bedrail assessments now been reviewed and signed, and how are these checked in future?
- 04What changes were made after the serious nutritional incident, and how do you know they are working?
- 05How will relatives be involved in care reviews and meetings about their family member?
This was an unannounced inspection of the overall quality of the home, prompted in part by a serious incident and including checks of all five rated areas. This explanation was written from the published report of 29 June 2018 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 Wilton House Nursing Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018Goodstayed GoodSafe: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 2011.
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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