26 July 2022
During a routine inspection
Cullum Welch Court Care Home is a care home providing personal and nursing care to up to 60 people across three separate units over two floors, each of which have separate adapted facilities including dining rooms and sitting areas. At the time of our inspection, there were 32 people were using the service some of whom had dementia and nursing needs.
People’s experience of using this service and what we found
Staff were not supported and supervised to be effective in their roles. People were supported with their needs. However, care plans did not always explore best possible ways to meet people’s individual needs. Staff did not get the leadership they needed as there was inconsistency in management. There was high turnover of staff and managers which had affected the quality of the service and staff performance.
Risks to people were managed to reduce harm to them. There were management plans in place that provided guidance to staff to reduce risks to people. People were safeguarded from the risk of abuse. Staff had received safeguarding training and knew actions to take to report abuse.
Incidents and accidents were reviewed, analysed and actions taken to ensure learning from them. People’s medicines were administered and managed safely. There were enough staff available to support people. Staff were trained in infection control and followed procedures to reduce risks of infection.
People’s needs were assessed in line with best practice guidance. People’s nutritional needs were met. People were supported to eat a balanced diet and drink enough to keep hydrated. Staff had an induction when they started their jobs; and had received training in their roles. People had access to the healthcare services they needed to maintain good health; and staff liaised effectively with other services.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s consent was sought for the care and support they received.
The service complied with the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Relatives and healthcare professionals were involved in making decisions for people in their best interests where this was appropriate.
People’s end-of-life wishes were documented in their care plans and followed when required. People were supported and encouraged to participate in activities they enjoyed.
People and their relatives knew how to raise complaints about the service. Complaints were appropriately addressed in line with the provider’s procedure. The provider worked in partnership with other organisations and services to develop and improve the service. The service had effective systems to monitor the quality and safety of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 26 June 2018).
Why we inspected
The inspection was prompted in part due to concerns received about the management of the service, staffing, poor care, safeguarding concerns and medicine management. A decision was made for us to inspect and examine those risks. We carried out a comprehensive inspection looking at all five domains.
We have found evidence that the provider needs to make improvement. You can see what action we have asked the provider to take at the end of this full report.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cullum Welch on our website at www.cqc.org.uk.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.