CQC report explained · a residential care home
What the CQC found at Culwood House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed, medicines were managed safely and staff were trained, although records of the manager's reviews after incidents had not always been made.
- Effective?
- Good
- Care was based on people's needs, preferences and choices. Staff had relevant training and people received support with food, health appointments and decisions about their care.
- Caring?
- Good
- Inspectors observed kind and respectful interactions. People were involved in care planning, their privacy was respected and staff supported their independence.
- Responsive?
- Good
- Care plans were personalised and included communication needs, interests and preferences. There was a complaints process, although there had been no recent complaints.
- Well-led?
- Good
- The home had regular audits, staff meetings and resident forums. Inspectors found a positive workplace culture and a manager who understood their responsibilities.
What inspectors found, March 2019
Culwood House is rated Good; inspectors found safe, kind and personalised care, with a small gap in recording reviews of incidents.
This was an unannounced inspection on 16 March 2019. An inspector and an expert by experience spoke with six people, two relatives and staff. They reviewed care records, a staff file, audits and other records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from avoidable harm, received suitable support and had their needs and choices recorded.
People and relatives described the care as kind and caring. Medicines, infection control, staff training, food and links with health professionals were checked and found to be managed well.
The home was also rated Good at the previous inspection, published on 9 July 2016. CQC said it would continue to monitor the service and plan future inspections.
People felt safe
People told inspectors they felt safe. Staff received safeguarding training and relevant allegations or incidents were reported to the local authority.
“I have no worries at all day or night” from the report
Kind and respectful care
Inspectors saw staff respond calmly and compassionately. People were treated with dignity, and staff asked permission before providing support.
“Staff were kind and friendly. We observed numerous interactions between staff that were compassionate and caring.” from the report
Personalised support
Care plans included individual preferences such as food, routines, activities and clothing. People and relatives could review plans and request changes.
“People's care plans contained information specific to their needs.” from the report
Safe medicines management
Staff received medicines training and competency checks. Inspectors found that medicines were ordered, stored, given and recorded safely.
“Medicines were safely ordered, stored, administered, documented and disposed of.” from the report
Good management checks
The home used regular audits and action plans to check areas such as medicines, infection control, care records and safety.
“There were regular audits and checks in place for evaluation of the quality of care.” from the report
Incident reviews were not always recorded
minorThe manager had not made notes of reviews or actions after incident reports were submitted. Inspectors raised this with the manager, who said future notes would be added to the electronic care system.
“The registered manager had not made notes of their reviews or actions when incident reports were submitted.” from the report
- 01How are manager reviews and follow-up actions after accidents or incidents now recorded?
- 02The report says the home was recruiting for two shifts per week. How are staffing levels arranged now?
- 03How often will my relative's care plan be reviewed, and how will changes in their needs be recorded?
- 04How will you involve my relative and our family in decisions about their care and preferences?
- 05What support is available if my relative needs end of life care in the future?
This was an unannounced inspection covering all five CQC questions, including the care provided and the premises. This explanation was written from the published report of 28 March 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.
Every inspection of Culwood House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- September 2013
Registered with the Care Quality Commission on 18 September 2013.
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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89 live-in carers within about an hour of Buckinghamshire
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. 79 can care for a couple. 13 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
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.