CQC report explained · a residential care home
What the CQC found at 95 Bromyard Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable risk assessments, safe medicine arrangements and systems for responding to safety concerns and incidents.
- Effective?
- Good
- This key question was not reviewed during this focused inspection.
- Caring?
- Good
- This key question was not reviewed during this focused inspection, although inspectors reported that people felt safe and that staff and managers were kind and caring.
- Responsive?
- Good
- This key question was not reviewed during this focused inspection.
- Well-led?
- Good
- Inspectors found that managers understood people's needs, involved people and relatives, supported staff and carried out quality checks.
What inspectors found, December 2019
Rated Good; inspectors found people were safe and well supported by a well-led home, although this was a focused inspection.
The home provides personal care for up to six women who may have autism or additional mental health support needs. Inspectors visited without notice on 5 December 2019. They spoke with four people and four staff, and reviewed care, medicine, recruitment and management records.
The home was rated Good overall. Safe and Well-led were both rated Good, the same as at the previous inspection. Inspectors found enough staff, safe medicine systems, suitable safety plans and a clean environment.
People said they felt safe and listened to. Inspectors found that managers knew people's needs, involved people and relatives, checked the quality of care and acted on improvements.
People felt safe
People said they felt safe and could raise concerns with staff and managers. Inspectors found staff understood people's safety needs.
“People liked living at the home and felt safe because staff and management were kind and caring towards them.” from the report
Safe medicines
Staff were trained and checked as competent to give medicines. Inspectors found medicines were given as prescribed and records and stock were checked.
“People were receiving their medicines when they should.” from the report
Open management
People could speak with managers about concerns or for reassurance. Managers were seen listening to people and treating them with respect.
“People told us the registered manager had an "open door policy" which meant they could go into the office at any time to share any concerns” from the report
Quality checks
Managers checked care records and medicines. The report says identified improvements had been put right.
“These included audits on care files and medicines. Any improvements identified had been acted upon and rectified.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure my relative's care plans and risk assessments stay up to date when their needs change?
- 02How many staff are usually available at the times my relative needs support?
- 03How do you check that medicines are given correctly and that records and stock counts remain accurate?
- 04How can my relative and our family take part in meetings and care reviews?
- 05What recent improvements have your care-file and medicine audits led to?
This was an unannounced focused inspection of Safe and Well-led only; the other key questions were not reviewed during this visit. This explanation was written from the published report of 17 December 2019 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.
What inspectors found, January 2018
95 Bromyard Road was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was a comprehensive, unannounced inspection on 1 December 2017. One inspector reviewed records, watched care, spoke with four people living at the home, two relatives, three care staff and a health professional, and checked information from other organisations.
The inspectors found enough staff, suitable medicine arrangements and systems to reduce risks and infections. Staff understood people's individual safety needs and supported them to develop independence and try new activities safely.
People were involved in their care and decisions. Staff supported health appointments, meals, communication, privacy and personal goals. Care plans recorded people's histories, wishes, risks and preferences, and staff adapted support as needs changed.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. It had also been rated Good at the previous inspection, so this rating remained unchanged.
Personalised care
Care plans included people's histories, preferences, risks and goals. Staff adapted support to individual needs and choices.
“We saw people's care plans and risk assessments reflected their unique needs, risks, preferences and goals.” from the report
Kind relationships
People had trusting relationships with staff and enjoyed spending time with them. Relatives spoke positively about the caring approach.
“People and their relatives were complementary about staff's caring approach.” from the report
Independence and choice
Staff supported people to make decisions, prepare food, go out safely and develop skills for more independent living.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible” from the report
Staffing and medicines
The inspectors found enough staff to meet people's needs and support activities. Staff needed training and competency checks before administering medicines, with records and regular checks in place.
“Staff were not allowed to administer people's medicines until they had received training and their competency had been checked.” from the report
Listening and improvement
People and staff could make suggestions, and the provider used checks, meetings and learning from incidents to develop the service.
“We saw regular meetings were held with people living at the home and with staff, so their views could be obtained, and action taken.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular mental health or learning disability needs?
- 02How would you help my relative develop independence while managing risks when going out?
- 03How would you involve my relative and family in creating and reviewing the person-centred planning file?
- 04What support would be available for preparing meals, managing medicines and attending health appointments?
- 05What improvements have been made to the communal areas and garden since the inspection?
This was a comprehensive, unannounced inspection covering all five CQC questions and the overall rating. This explanation was written from the published report of 6 January 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 95 Bromyard Road
3 rated inspections over 4 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodstayed GoodSafe: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 24 November 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Worcestershire
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 £980 to £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.