Weyspring Park

Updated 26 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Weyspring Park is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Weyspring Park is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included any statutory notifications received. Statutory notifications are specific pieces of information about events, which the provider is required to send to us by law. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed documentation, inspected the safety of the premises and carried out observations in communal areas. We spoke with seven people who used the service and ten members of staff including the registered manager, nominated individual, clinical lead, nurses, the chef and care support staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed the care and medicine records for ten people. We also received feedback from 12 relatives and five visiting professionals about their experience of the care provided. We looked at a range of records. This included information about staffing, policies and procedures, environmental safety and information relating to the governance of the service.

Updated 26 November 2022

About the service

Weyspring Park is a residential care home providing personal care to up to 34 people in one adapted building. The service provides support to people with a range of complex health and care needs including diabetes, people living with dementia and complex psychological conditions including schizophrenia. At the time of our inspection there were 27 people using the service.

People’s experience of using this service and what we found

People were protected from abuse and the risk of discrimination. Risks to people had been fully assessed and mitigated. People told us they were supported to keep themselves and their personal belongings safe. People received their medicines safely. Infection control processes protected people from the risk of infection.

People's care plans were individualised and reflected their needs and personal preferences. The service worked together with healthcare professionals to ensure people’s health, care and wellbeing needs were met. 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.

Quality assurance processes and audits were in place to monitor and improve the quality and safety of the care provided. Staff were suitably trained and had their competencies assessed regularly. There was enough staff to safely support people. We received positive feedback about the registered manager and provider about how the service was managed.

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 requires improvement (published 30 December 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service and to follow up on action we told the provider to take at a previous 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.

We undertook an unannounced focused inspection of the service on 22 March 2021, 8 April and 5 May 2021. Breaches of legal requirements were found, and conditions were placed on the providers registration in relation to the following regulations of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014; Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment; Regulation 17(Good governance), Regulation 18 (Staffing).

The provider completed an action plan after the inspection on the 5 May 2021 to show how they would improve and by when. We undertook an unannounced focused inspection of the service on 9 November 2021 to check they had followed their action plan. At the inspection on the 9 November 2021 the provider was no longer in breach of regulations.

Following the inspection on 22 March 2021 and 5 May 2021 the provider was required to send CQC a monthly report of actions to demonstrate how they were meeting the conditions placed on their registration. At inspection on 9 November 2021 we did not review the conditions. This is because they had only recently been placed upon the providers registration and the provider needed further time to address the required actions and embed service improvements.

We undertook this focused inspection to check they were meeting the conditions and to confirm they now met legal requirements.

This report only covers our findings in relation to the Key Questions Safe and Well-Led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Weyspring Park on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.