Background to this inspection
Updated
11 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 24 February 2022 and was announced. We gave the service 24 hours notice of the inspection.
Updated
11 March 2022
The inspection took place on the 20 and 23 June 2017 and was unannounced. White Rock Nursing Home Limited provides accommodation and support for up to 30 older people including people living with dementia. At the time of our inspection there were 28 people living at the home.
At our last inspection on 20 and 21 January 2016, we found one breach of the regulations. The service was non-compliant with safeguarding people from abuse and improper treatment. During this inspection we found action had been taken and improvements made.
The Registered manager left shortly before the inspection and there was a new manager in post who was applying to register with CQC.. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.
People felt safe living at White Rock Nursing Home and risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies.
Relevant recruitment checks were conducted before staff started working at White Rock Nursing Home to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.
Staff were trained and assessed as competent to support people with medicines. Medication administration records (MAR) confirmed people had received their medicines as prescribed.
People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes and went out of their way to provide people with what they wanted.
Most people’s care plans provided comprehensive information and were reviewed regularly. The service had introduced the ‘Resident of the day’ which ensured the staff spend time with the person to ensure care plans were updated and to see what improvements could be made to their needs.
Staff received regular support and one to one sessions or supervision to discuss areas of development. They completed a wide range of training and felt it supported them in their job role. New staff completed an induction programme before being permitted to work unsupervised.
Staff sought consent from people before providing care and support. The ability of people to make decisions was assessed in line with legal requirements to ensure their rights were protected and their liberty was not restricted unlawfully.
People were cared for with kindness, compassion and sensitivity. Care plans provided information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs.
People were supported and encouraged to make choices and had access to a range of activities. Staff knew what was important to people and encouraged them to be as independent as possible.
A complaints procedure was in place. There were appropriate management arrangements in place. Regular audits of the service were carried out to assess and monitor the quality of the service.