About the service: Wykebeck Court Care Home provides nursing and personal care for up to 84 people, some of whom may be living with dementia. At the time of our inspection, 45 people used the service.

People’s experience of using this service: Staff did not always provide people with the care and support they needed to stay safe when moving around the home. This included access to appropriate equipment.

The provider did not employ enough staff or deploy staff effectively to keep people safe. Staff did not always respond to people who needed care and support and important duties such as pressure ulcer care were not always completed.

Restrictions had been applied to people without consideration of whether individuals might lack the capacity to make the decision. Where people did not have the capacity to make decisions, the documentation did not always support compliance with The Mental Capacity Act 2005 (MCA).

There was a lack of managerial oversight of the running of the service. This placed people at risk of harm and impacted on the quality of the service people received staff had not received any additional training aligned to the specific and changing needs of individuals.

We received mixed feedback from staff about the support they received from the registered manager and deputy manager.

Thorough assessments were carried out of people’s needs and care plans were regularly reviewed. However, staff were not required to read people’s care plans and this impacted on their ability to provide effective care in a way people preferred.

Further adaptions to the environment were needed to better support the people living with experiences of dementia. We have made a recommendation to the provider about the suitability and design of the premises.

Responses to complaints did not include any information about how to take action if the person was not satisfied with how the provider had managed their complaint. We have made a recommendation to he provider about their complaints procedures.

We received mixed feedback from relatives, staff and external visitors about the caring nature of staff. Staff appeared very busy and we observed very little meaningful interaction or activity between staff and people.

The home was newly built and well maintained. The environment was clean and tidy and staff followed infection control protocols to prevent the spread of infection.

Medicines were managed safely and stored securely in a locked treatment room and access was restricted to authorised staff.

People had access to food and drink throughout the day and an evening menu was available to people at night. We received positive feedback form people and relatives about the high standard of the food.

Rating at last inspection: The was the first inspection of the service and this is the first rating for the service.

Why we inspected: This was a scheduled inspection for this service.

Enforcement: We identified four breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around safe care and treatment, consent, staffing and governance.

Follow up: We have asked the provider to address the breaches of regulation we found during our inspection. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details please see the full report either below or on the CQC website at www.cqc.org.uk