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CQC report explained · a residential care home

What the CQC found at Walmley Road

Goodpublished 17 October 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was using PPE safely, supporting testing, managing infection risks and facilitating visits in line with current guidance. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, January 2022

Lonsdale Midlands Ltd - Walmley Road was inspected but not rated; inspectors found good infection control and visiting arrangements.

This was a targeted inspection on 12 January 2022. It looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care. The inspection was announced with 24 hours' notice.

Inspectors found that the home followed national guidance when people or staff tested positive. PPE, hand-washing stations, testing and social distancing arrangements were in place. Families and friends could use a range of visiting options.

The home was rated as inspected but not rated overall. The Safe question was also inspected but not rated. This was not a full inspection of the home's overall quality.

What inspectors praised
  • Infection control

    The home followed national self-isolation guidance after positive COVID-19 tests. PPE and hand-washing facilities were available for staff and visitors.

    “Personal protective equipment (PPE) and hand washing stations were available to staff and visitors throughout the home.” from the report
  • Family visits

    The home offered different ways for people to stay in contact with family and friends during the pandemic.

    “A range of visitation options were available to allow people to keep in contact with family and friends.” from the report
  • Social distancing

    The layout of the home and its daily activities supported social distancing.

    “The arrangement of furniture and daily activities allowed people to remain socially distanced.” from the report
  • COVID-19 safeguards

    Inspectors were assured that the home met infection prevention and control guidelines as a designated care setting.

    “We were assured that this service met good infection prevention and control guidelines as a designated care setting.” 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. 01What infection prevention and control arrangements are currently in place, and how have they changed since January 2022?
  2. 02How are visits arranged now, including visits from family and friends?
  3. 03How does the home manage COVID-19 testing, positive tests and self-isolation?
  4. 04What measures are in place if COVID-19 causes staff shortages or other staffing pressures?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide a full quality assessment or ratings for the other questions. This explanation was written from the published report of 28 January 2022 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, October 2018

Lonsdale Midlands Ltd - Walmley Road was rated Good; inspectors found safe, kind and personalised care, with the manager's registration still being processed.

This was an unannounced inspection on 6 September 2018. One inspector met everyone living in the home, observed care, spoke with three support staff and the manager, and checked care, medicines, recruitment, incident and quality records.

The home supports up to four people with learning disabilities. All four places were occupied during the inspection. Inspectors found people looked happy, relaxed and comfortable, and that staff understood their needs, risks, choices and communication.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Each rating remained Good from the previous inspection in September 2015.

What inspectors praised
  • Safe medicines support

    Inspectors found medicines were given as prescribed, recorded correctly and stored safely. Staff were trained and their competence was checked.

    “We looked at MAR (medication administration records) which showed that people had their medication on time and doses were not missed.” from the report
  • Kind relationships

    People appeared relaxed with staff, who knew their needs and preferences. Staff were not rushed and supported people respectfully.

    “This showed that staff had developed kind and caring relationships with people.” from the report
  • Personalised support

    Care records included people's preferences, routines, communication needs and personal goals. Staff followed this information in practice.

    “The care records we looked at included sections referred to as the 'best way to work with me' and 'goals and dreams' and were found to be comprehensive and individual to the person.” from the report
  • Choice and independence

    People were supported to make everyday choices, take part in activities and do tasks for themselves where possible.

    “People were supported to enjoy a range of activities and were involved in their day to day care and chose how to spend their day.” from the report
  • Good oversight

    The provider used audits, incident reviews and monthly reports to monitor the home. The inspection found that required notifications had been sent to CQC.

    “We saw that the registered provider had a range of audits and checks to monitor the quality and safety of the service.” from the report
What inspectors were concerned about
  • Manager registration pending

    minor

    The manager had applied to register with CQC, but the application had not yet been completed when inspectors visited. The report does not say this affected the quality of care.

    “At the time of our inspection the new manager had applied to CQC to be the registered manager and their application was being processed.” from the report
  • Future end-of-life wishes

    minor

    No one was receiving end-of-life care during the inspection. The home was starting to collect and record people's wishes, so families may want to ask how far this work has progressed.

    “They told us that they were starting to gather information about people's wishes.” from the report
Questions to ask them, based on this report
  1. 01Has the manager's CQC registration application now been completed?
  2. 02How many staff would support my relative during the day and at night, and how are changing staffing needs reviewed?
  3. 03How would you record and communicate my relative's wishes about future end-of-life care?
  4. 04How would my relative's communication needs and preferences be recorded and shared with staff?
  5. 05What activities and community opportunities would be available for my relative?

This was an unannounced inspection covering all five key questions; all five ratings remained Good from September 2015. This explanation was written from the published report of 17 October 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.

The story over the years

Every inspection of Walmley Road

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Walmley Road →

  2. October 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Walmley Road →

  3. November 2015Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2010

    Registered with the Care Quality Commission on 25 November 2010.

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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