14 June 2023
During an inspection looking at part of the service
Wythall Residential Home is a residential care home providing accommodation for persons who require nursing or personal care for up to 22 people. The service provides support to older people. At the time of our inspection there were 17 people using the service.
Wythall Residential Home accommodates people in one adapted building.
People’s experience of using this service and what we found
We carried out a previous unannounced inspection of this service on 27 and 28 July 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance. At our last inspection, improvements were required around medicines management, managing people's risks, risks within the environment, quality of record keeping and quality assurance systems.
At the last inspection we recognised that the provider had failed to appoint a registered manager. This was a breach of regulation, and we issued a fixed penalty notice. The provider paid this in full.
At this inspection we found the provider remained in breach of regulation. The service remains rated requires improvement.
Whilst some improvements to record keeping and managing people’s risks had been made and a new governance system had been implemented, we continued to find improvements were needed in these areas. Systems and processes to safeguard people from the risk of abuse or avoidable harm needed to be more robust. Staff had not always followed the provider’s medicines procedures or national guidance when ordering, administering, or storing medicines. We identified some shortfalls during our inspection.
Feedback we received from people, relatives, and staff we spoke with during the inspection was positive. People told us they felt safe living at Wythall Residential Home.
People and relatives told us the home was managed well and felt confident to raise matters with the managers. The service still did not have a registered manager in post. However a manager had been appointed and was applying to be registered at the time of our inspection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Rating at last inspection and update
The last rating for this service was requires improvement (published 19 November 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. This service has been rated requires improvement for the last 3 consecutive inspections.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wythall Residential Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified continued breaches in relation to safe care and treatment, medicines management and good governance.
Please see the action we have told the provider to take at the end of this report.
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.