CQC report explained · a residential care home
What the CQC found at 79 Malmesbury Road
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People appeared happy, comfortable and safe. Staff understood safeguarding, risk management and incident reporting, and there were enough staff on duty around the clock.
- Effective?
- Good
- Staff were trained and supported to meet people's physical and psychological needs. People had flexible routines, food choices, support with appointments and access to health and social care professionals.
- Caring?
- Outstanding
- Inspectors saw strong kindness, respect and commitment. People were valued, supported to make their own choices and encouraged to develop independence.
- Responsive?
- Outstanding
- Support was highly personal and adapted to changing needs. Staff helped people pursue goals, maintain relationships, manage difficult times and work towards greater independence.
- Well-led?
- Outstanding
- Leadership was active and committed, with strong teamwork and regular checks on quality and safety. People, relatives and staff were encouraged to give feedback and help improve the home.
What inspectors found, June 2018
79 Malmesbury Road was rated Outstanding; inspectors found safe and effective care, with caring, responsive and well-led support rated Outstanding.
This was an announced inspection of a small home supporting up to five adults with learning disabilities and complex mental health needs. Five people lived there at the time. Inspectors spent time with everyone, spoke with three people, two relatives, three staff and health and social care professionals. They also checked care records, staff files, medicines, policies, audits and other records.
Inspectors found people were safe, treated with kindness and supported to live the lives they wanted. Staff understood people's needs, risks and preferences. People were supported to make choices, build independence, take part in activities, maintain relationships and access health care.
The home was rated Good for Safe and Effective, and Outstanding for Caring, Responsive and Well-led. The overall rating remained Outstanding. The Well-led rating improved from Good to Outstanding since the previous inspection.
Safety and staffing
Staff understood people's risks and how to support them safely without unnecessary restrictions. Staffing was sufficient, with extra support available when people's needs increased.
“There were sufficient numbers of staff on duty 24 hours a day.” from the report
Choice and independence
People were supported to make everyday choices and work towards personal goals. This included travelling independently, working and preparing meals.
“There was a strong culture of empowering people, independence and autonomy was promoted at all times and was at the centre of all care and support people received.” from the report
Kind and respectful care
Inspectors found a strong culture of kindness, dignity and respect. Staff built trusting relationships and helped people feel valued.
“Throughout the inspection we saw various examples where acts of kindness and care had a positive impact on people's lives and wellbeing.” from the report
Personalised support
The home adapted support to people's interests, health needs, ambitions and emotional circumstances. Staff responded quickly when people's needs changed.
“People's changing needs were responded to quickly and appropriately.” from the report
Leadership and improvement
The provider and manager were closely involved and encouraged teamwork, learning and feedback. Audits and action plans were used to monitor the service and make improvements.
“There was a strong emphasis on continually striving to improve the services provided.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative to build independence and make their own choices?
- 02How would staffing and support change if my relative became unwell or their needs increased?
- 03How do you support people with complex mental health needs or behaviours that may be difficult to manage?
- 04How would you help my relative maintain family relationships, interests, work or community activities?
- 05How are people's feedback, care records and changing needs reviewed and acted on?
This was an announced inspection covering all five key questions, although the report gives two different sets of inspection dates: 19 and 20 February, and 26 and 27 February 2018. This explanation was written from the published report of 15 June 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 79 Malmesbury Road
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- June 2018Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2015OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- October 2014
Registered with the Care Quality Commission on 22 October 2014.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about two hours of Wiltshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,300 a week. 82 can care for a couple. 12 years' experience on average.
“Linet became her carer and all changed, my daughter started eating, taking her medications and more important her happiness came back.”
“I cannot recommend Prisca highly enough, she is one in a million.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.