CQC report explained · a nursing home
What the CQC found at Mowbray Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, medicines were managed safely, infection control was understood and staffing levels met people's needs.
- Effective?
- Good
- Staff received induction, training and support. People received suitable food and drinks, access to health professionals and care planned around their needs and choices.
- Caring?
- Good
- People and relatives described staff as caring and respectful. Staff knew people well, supported their choices and promoted privacy, dignity and independence.
- Responsive?
- Good
- Care plans included people's preferences and staff knew how to meet their needs. People were supported with activities, relationships, complaints and end of life wishes.
- Well-led?
- Good
- The manager was visible and approachable. Quality checks were completed, people's and staff views were considered, and action was taken when issues were identified.
What inspectors found, November 2019
Rated Good; inspectors found safe, kind and personalised care, with some people asking for more showers.
The inspection was unannounced and took place on 10 October 2019. One inspector and an Expert by Experience spoke with 15 people, five relatives and staff. They also reviewed care records, medicines records and the home's quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe, staff knew their needs, medicines were handled safely and there were enough staff to meet people's needs without unreasonable delays.
People were treated with kindness and respect. Their choices, food preferences, health needs, activities and end of life wishes were supported. The manager and provider were checking the service and making improvements. The overall Good rating was unchanged from the previous inspection.
People felt safe
People said they felt safe, and inspectors found that risks, accidents and incidents were reviewed to reduce the chance of harm.
“People told us they felt safe living at the home.” from the report
Safe medicines support
Staff were trained and followed safe procedures for storing, administering and disposing of medicines. Guidance was in place for medicines taken when needed.
“We saw staff followed good practice guidelines when administering medicine.” from the report
Kind and respectful care
People and relatives described staff as caring. Inspectors saw positive relationships and found that privacy, dignity and personal choices were respected.
“People who lived at the home and relatives we spoke with said staff were caring and respectful.” from the report
Personalised support
Care records described people's likes, dislikes and preferences. Staff knew people's needs and supported activities, relationships and health care.
“Care records contained personalised information, likes, dislikes and preferences, and set out how staff should meet people's needs.” from the report
Open management
The manager was visible, approachable and acted when issues were raised. Regular checks covered areas including care records, medicines and incidents.
“The registered manager had developed an open culture within the home and promoted positive team working practices.” from the report
More showers requested
minorSome people said they wanted more opportunities to have showers. The manager said they would check people's bathing preferences again.
“Some people told us they would like the opportunity of having more showers.” from the report
- 01How will you record and meet my relative's preferences for baths and showers?
- 02How do you review staffing levels when residents' needs change?
- 03How will you support my relative's specific health conditions, food needs and allergies?
- 04What activities would be suitable for my relative, including one-to-one support?
- 05What improvements to the home, including redecoration and flooring, are planned and when will they happen?
This was an unannounced inspection covering all five CQC questions and both the premises and the care provided; all five ratings remained Good. This explanation was written from the published report of 7 November 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, April 2017
Mowbray Nursing Home was rated Good; inspectors found safe, kind and responsive care, with earlier concerns improved.
Inspectors visited without warning on 28 February and 1 March 2017. They spoke with people living at the home, relatives, staff and visiting professionals. They observed care and checked care records, medicines, staffing, training and quality checks.
All five areas were rated Good: safe, effective, caring, responsive and well-led. People generally said staff were kind, responsive and respectful. Inspectors also found suitable staffing, safe medicines practice, staff training and access to healthcare.
At the previous inspection, there had been concerns about delays answering call bells and medicines records not reflecting changes. Inspectors found improvements in both areas. Some people were unsure whether bath and shower times could be changed, but managers clarified that these arrangements were flexible during the inspection.
Prompt help
Inspectors saw call bells answered promptly. Most people said staff responded quickly when they needed assistance.
“During this inspection we heard call bells sound. These were answered promptly by the staff on duty.” from the report
Kind and respectful care
Staff were observed speaking warmly with people and providing help in a dignified and discreet way. People were supported to make choices and remain independent.
“Throughout our inspection we heard examples of staff providing kind and considerate care to people.” from the report
Food and healthcare
People had food choices, support with meals and regular drinks. Visiting healthcare professionals had no concerns about the healthcare provided.
“A visiting healthcare professional told us they did not have any concerns regarding the healthcare provided for people.” from the report
Supportive management
Staff described the management as supportive and felt able to raise concerns. The home used audits and reviews to monitor care and incidents.
“The provider had a range of audits completed by the registered manager and the area manager to monitor the level and standard of care provided for people.” from the report
Choice of bath and shower times
needs fixingSome people thought their bath or shower day was fixed rather than freely changeable. Managers clarified during the inspection that people could choose another time.
“Some people felt this to be negotiable while others did not.” from the report
- 01How do you make sure each person can choose when they have a bath or shower?
- 02How quickly are call bells answered now, and how do you monitor this?
- 03How do you check that medicines records stay accurate when prescriptions change?
- 04What activities and one-to-one support are available if the activities staff member is away?
- 05How will you keep relatives informed and respond to concerns about communication?
This was an unannounced overall rating inspection covering all five CQC questions; the previous inspection had rated four areas Good and one Requires Improvement. This explanation was written from the published report of 12 April 2017 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 Mowbray Nursing Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 December 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.
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.