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CQC report explained · a residential care home

What the CQC found at Little Wakering House

Goodpublished 30 November 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, risk assessments, medicines, infection control and learning from incidents were managed safely.
Effective?
Good
This key question was not rated in this inspection.
Caring?
Good
This key question was not rated in this inspection, although inspectors reported that care promoted dignity, privacy and human rights.
Responsive?
Good
This key question was not rated in this inspection, although inspectors found care was personalised and adapted when people's needs or wishes changed.
Well-led?
Good
Inspectors found a positive, inclusive culture, clear staff roles and systems to monitor the service. People and relatives were involved in care reviews and the manager understood their responsibilities.
The latest report, explained

What inspectors found, November 2023

Little Wakering House was rated Good; inspectors found safe, person-centred care and strong management.

The unannounced inspection took place on 14 November 2023. Two inspectors spoke with five people, three relatives and four staff. They reviewed care records, medicine records, recruitment files and management records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough staff, safe medicine practice, appropriate recruitment checks and systems to manage risks, infections and incidents.

People were supported to make choices, stay independent and take part in community activities. Care was personalised, and staff helped people access health professionals. The previous inspection rating was also Good, published in December 2018.

What inspectors praised
  • Safe staffing and recruitment

    The home had enough staff to support people's planned activities. Recruitment checks were completed before staff started work.

    “People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed.” from the report
  • Personalised support

    Care was based on people's needs and wishes. Staff supported people to stay independent and take part in community activities.

    “Care was personalised to people's needs and staff reviewed and adapted support as people's needs or wishes changed.” from the report
  • Positive culture

    Inspectors found that the home was inclusive and focused on helping people achieve positive outcomes.

    “There was a positive culture at the service, which was inclusive, and person centred, promoting positive outcomes for people.” from the report
  • Learning and development

    Staff received regular training and the manager arranged specialist training to improve support for people with specific needs.

    “The registered manager had worked with the Prada Willi association to source this training for staff to equip them with the skills they need to support people.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and review my relative's individual risks and support needs?
  2. 02How will my relative be supported to make everyday decisions and take part in activities outside the home?
  3. 03How do you make sure medicines are given safely and reviewed when needed?
  4. 04What specialist training have staff received that is relevant to my relative's condition and needs?
  5. 05How often will my relative and our family be involved in reviewing their care?

This was a focused inspection of Safe and Well-led only; the other key question ratings were not given in this report. This explanation was written from the published report of 30 November 2023 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.

An earlier report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors were assured about infection prevention and control during the coronavirus pandemic.

This was an announced, targeted inspection on 27 November 2020. It looked only at infection prevention and control because of coronavirus outbreaks in care homes.

Inspectors were assured that the home was preventing infections, using personal protective equipment safely, following shielding and social distancing rules, and accessing testing for people and staff.

The home supported contact with families through phone and video calls, photographs, tablets and a safe visiting area in the garden. People who needed to isolate had dedicated staff.

The home was inspected but not rated. This report therefore does not give a full overall quality rating or ratings for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had suitable arrangements to prevent and manage infection, including the use of PPE and testing.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Family contact

    The home arranged phone and video calls, exchanged photographs and created a safe visiting place in the garden.

    “Regular phone or video calls and photograph exchanges were arranged with people that used the service and their family and friends.” from the report
  • Support during isolation

    People who needed to isolate had dedicated staff to meet their support needs.

    “People who would be isolating at the service had their own dedicated staff to meet their support needs.” from the report
  • Communication support

    People had their own tablet computers as part of a project to improve communication.

    “People that used the service had received their own computer tablets as part of a project to enhance communication.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently asked to use PPE and follow infection control procedures?
  2. 02How do you arrange visits, phone calls and video calls with family members now?
  3. 03What happens if someone living here needs to isolate, and which staff will support them?
  4. 04How do you access testing for people living here and for staff?
  5. 05How would you manage an infection outbreak in the home?

This was a targeted inspection of infection prevention and control only, so the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 12 December 2020 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.

The story over the years

Every inspection of Little Wakering House

4 rated inspections over 9 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Little Wakering House →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Little Wakering House →

  3. December 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2016Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2011

    Registered with the Care Quality Commission on 14 February 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.

Next steps

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