CQC report explained · a residential care home
What the CQC found at Ogwell Grange Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People received their medicines safely and there were enough staff to meet their needs. However, an allegation of abuse had not been shared with the local authority or CQC, and as-required medicines did not initially have clear protocols.
- Effective?
- Good
- People had detailed, person-centred care plans and staff had relevant training and supervision. Mental capacity assessments and some care plan reviews had not always been completed, but these were addressed during the inspection.
- Caring?
- Good
- This question was not rated in this inspection. Inspectors saw warm, caring interactions, and people were supported according to their personal preferences.
- Responsive?
- Good
- This question was not rated in this inspection. Inspectors found detailed information about people's needs and preferences, but the report does not provide a separate Responsive rating.
- Well-led?
- Good
- Managers and staff understood their roles and governance systems were in place. Some systems had not identified the problems with mental capacity records and medicines protocols before the inspection, but action was taken straight away.
What inspectors found, April 2023
Rated Good; inspectors found caring, safe support, but some safeguarding and medicines records needed improvement.
This was an unannounced inspection after concerns were received about harm, moving and handling, staff skills, complaints and the home’s culture. Inspectors spoke with people, relatives, staff and health professionals. They observed care and reviewed care records, staff files and other records.
The overall rating was Good. Safe, Effective and Well-led were each rated Good. Inspectors found enough staff, safe medicines administration, good risk assessments, person-centred care and effective links with health professionals.
There were some shortfalls. A previous allegation of abuse had not been shared with the local authority or CQC. Some medicines instructions, recruitment records and mental capacity records were incomplete. The home took immediate action on several of these issues during the inspection.
Kind and personal care
People were treated warmly and care was adapted to their preferences. Inspectors saw staff spending time talking with people about their lives.
“Interactions between staff and people were caring and supportive.” from the report
Risk management
Risks were assessed and reviewed, with clear information for staff about how to reduce risks. Equipment, fire safety checks and personal evacuation plans were also in place.
“Risks were assessed and regularly reviewed.” from the report
Skilled staff
Staff completed training relevant to their roles and received supervision. Inspectors found staff knew people well and understood their needs.
“Staff had completed training to ensure they had the skills to meet people's needs.” from the report
Good links with health services
Staff worked with health and external professionals and helped people access healthcare. Staff had systems for monitoring concerns and seeking medical advice.
“Staff worked effectively with other agencies and supported people to access healthcare services.” from the report
Welcoming culture
Relatives were welcomed and people were encouraged to give feedback. Inspectors found a strong sense of community and friendships.
“People were encouraged to form friendships with each other and there was a strong sense of community.” from the report
Safeguarding reports
seriousAn allegation of abuse in 2022 was investigated but was not shared with the local authority or CQC. Inspectors recommended that all future allegations are reported without delay.
“We recommended the provider ensure all allegations of abuse are shared with the local authority and notified to CQC without delay.” from the report
As-required medicines information
needs fixingMedicines records did not initially explain what as-required medicines were for or when staff should give them. The provider said this was corrected immediately.
“There were no PRN (as required medicines) protocols in place within peoples medicines administration records.” from the report
Recruitment records
minorSome staff files did not contain a full employment history or explanations for gaps. The registered manager changed the recruitment system immediately.
“A full employment history was not always obtained and reasons for gaps in employment were not recorded.” from the report
Staffing can feel stretched
minorRelatives said staff could seem very busy at times, particularly at weekends. Inspectors still found enough staff and saw a relaxed, unhurried atmosphere during the inspection.
“One relative told us staffing could be "stretched", especially at the weekend.” from the report
- 01How do you now make sure every allegation of abuse is shared with the local authority and notified to CQC without delay?
- 02What information is now recorded for each as-required medicine, including what it is for and when it should be given?
- 03How are mental capacity assessments and best-interest decisions recorded before DoLS applications are made?
- 04How do you check staffing levels at weekends when relatives have said staff can feel stretched?
- 05How do you make sure care plans and staff employment histories are reviewed and kept complete?
This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected, and the overall rating used the ratings from this inspection alongside the previous ratings where needed. This explanation was written from the published report of 6 April 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.
What inspectors found, March 2018
Ogwell Grange Residential Care Home was rated Good; inspectors found kind, safe care, with some records and assessments needing improvement.
This was a comprehensive inspection over three days in February 2018. Inspectors spoke with all 20 people living at the home, relatives, staff and healthcare professionals. They also observed care and checked care plans, medicines records, staff files, training records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe and well cared for. Inspectors saw kind and respectful staff, enough staff on duty, safe medicines practice, regular activities and good links with healthcare professionals.
There were some areas to improve. Further mental capacity assessments were needed for some monitoring equipment. Staff supervision was not always recorded regularly. Care information was spread across several documents, and a previous incident involving a person leaving the home had not been reported to the police quickly enough. The provider said it would address these issues.
Kind and respectful care
Inspectors saw staff supporting people calmly and compassionately. People's privacy, dignity and independence were respected.
“Throughout the inspection we saw staff supporting people in a compassionate way.” from the report
Safe staffing and medicines
The home had enough staff to meet people's needs, including overnight. Medicines were administered safely and records were well maintained.
“There were sufficient staff employed to meet people's needs.” from the report
Activities and personal interests
People were offered activities every morning and afternoon, seven days a week, as well as trips out. Staff supported people to take part at their own level.
“Activities were organised each morning and afternoon, seven days a week.” from the report
Good healthcare support
Staff contacted healthcare professionals appropriately, followed advice and recorded appointments and guidance in care plans.
“We received good feedback from the healthcare professional we consulted.” from the report
Open management
People, relatives and staff described the home as well managed and approachable. The provider and manager used regular audits and feedback to monitor the service.
“Staff told us they enjoyed working at the home and felt there was an open culture.” from the report
Missing person response
seriousA previous local authority investigation found that the home could have contacted the police more quickly when a person went missing. The home said it had since reviewed its risk assessments, exit door and missing person policy.
“The home could have acted more quickly to alert the police when this person went missing from the home.” from the report
Mental capacity records
needs fixingSome people did not have enough recorded assessment about whether they could consent to monitoring equipment used for safety. The manager said these assessments would be completed without delay.
“Further assessments were required to assess people's capacity when they were unable to consent to the use of monitoring equipment used to protect their safety.” from the report
Staff supervision records
needs fixingSupervision meetings were not held or recorded at the planned frequency. The manager said future discussions about staff support and development would be recorded.
“However, supervisions were not undertaken with planned regularity.” from the report
Care plan detail
needs fixingStaff sometimes needed to look across several documents to understand a person's support needs. It was also not always clear what each person could do independently, although new care plans were being introduced.
“Although the information about how staff should provide support to people was recorded, it was necessary for staff to read a number of these documents to gain a full picture of each person's needs.” from the report
- 01Have all the mental capacity assessments for monitoring equipment now been completed and recorded?
- 02How often are staff supervision meetings held, and how do you check that they are recorded?
- 03Have all care plans been rewritten so that staff can see clearly what support each person needs and what they can do independently?
- 04What is the home's current procedure if a person leaves or goes missing, including when the police are contacted?
- 05How are activities and trips adapted for a person with dementia or limited mobility?
This was a comprehensive inspection covering all five CQC questions, with the first and third days unannounced. This explanation was written from the published report of 30 March 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 Ogwell Grange Residential Care Home
3 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ogwell Grange Residential Care Home →
- March 2018Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
Read what inspectors found at Ogwell Grange Residential Care Home →
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 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.
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