Wellesley House Nursing Home Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed a limited number of quality statements in the effective key question and found areas of concern. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Though the assessment of these areas indicated areas of concern since the last inspection, our rating for the key question remains good. We identified 1 breach of the legal regulations. The principles of The Mental Capacity Act were not always followed to ensure people received care in line with this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People and relatives raised no concerns around how they consented to care.

Leaders were unable to demonstrate they understood the process to follow where people were unable to consent, they were unable to tell us they would follow the correct processes. The provider told us they had sent consent forms to relatives for people who lacked capacity to make their own decisions. Staff told us they had received training in this area. They were able to tell us how they would gain verbal consent from people.

There were capacity assessments in place for people when needed, however, these had not always considered all areas. There was not always evidence to show how decisions had been made in people’s best interests. When people lacked capacity to make decisions, relatives were consenting on their behalf without the legal powers to do so. For example, in relation to the use of CCTV in the home.