CQC report explained · a nursing home
What the CQC found at Priscilla Wakefield House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2022
Rated Good; inspectors found personalised, responsive care and good leadership, but the Safe question was inspected without a new rating.
The unannounced inspection took place over 17, 18 and 23 May 2022. Inspectors spoke with people, relatives and staff. They reviewed care records, complaints, quality checks and end of life plans.
The overall rating was Good. Responsive and Well-led were rated Good. Safe was inspected but not rated because the inspectors did not review the whole question. Effective and Caring were not given a rating in this inspection.
Inspectors found personalised care, varied activities, support to keep in touch with loved ones and compassionate end of life care. Infection prevention arrangements were also found to be suitable.
The home had improved how it handled complaints since the previous inspection. Inspectors recommended that it find a way to check call bell response times while its replacement system was being installed.
Personalised care
Care records included people's preferences and were reviewed monthly or sooner when needs changed. People said staff responded to requests in a timely way.
“Care records were detailed and personalised and included people's preferences.” from the report
Activities and relationships
People were offered group and individual activities, including music, baking, gardening and exercise. The home also supported contact with loved ones through virtual visits.
“The provider offered a variety of activities to people.” from the report
Positive leadership
Inspectors found systems for monitoring quality, learning from incidents and acting on feedback. People, relatives and staff spoke positively about how the home was run.
“The provider encouraged a positive culture in the service that was open, empowering and inclusive.” from the report
End of life support
Staff received training in end of life care. Care plans recorded people's wishes about hospital treatment and resuscitation, and these wishes were reviewed weekly when people were nearing the end of life.
“Staff received training in how to provide compassionate care to people at the end of their life.” from the report
Call bell checks
minorThe temporary call bell system did not allow the home to audit response times. Inspectors recommended finding a manual way to check this until the replacement system was working.
“We recommend the provider seeks advice about manual ways to audit call bell response times.” from the report
- 01How are you checking call bell response times while the replacement system is being installed?
- 02When will the call bell system allow response times to be audited again?
- 03How are my relative's care preferences recorded and reviewed if their needs change?
- 04What individual and group activities would be available for my relative?
- 05How would you support my relative's end of life wishes and keep their care plan up to date?
This was an unannounced inspection prompted partly by concerns about risk management and end of life care; Safe was inspected but not fully rated, while Effective and Caring were not rated in this inspection. This explanation was written from the published report of 14 July 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.
What inspectors found, September 2020
Inspected but not rated; inspectors found good COVID-19 infection-control arrangements.
This was a targeted inspection on 14 August 2020. It looked only at infection prevention and control as part of a national coronavirus review. The inspection was announced.
Inspectors found good arrangements for visitors, including screening, hand washing, personal protective equipment and electronic sign-in. People could keep in touch with family through planned visits and video calls.
The home had arrangements for safe admissions, self-isolation, testing and staff training. Inspectors were assured that infection risks were being managed in the areas they checked.
The home was inspected but not rated. This report does not give an overall quality rating or ratings for care, effectiveness, responsiveness or leadership.
Visitor infection controls
Visitors were screened and given access to hand-washing facilities and protective equipment before entering the main area.
“The provider maintained good infection control practices before entering the main area of the building.” from the report
Keeping families connected
The home arranged video calls and staggered visits so people could keep in touch with relatives and friends.
“People were supported to have visits and keep in touch with their loved ones and friends.” from the report
PPE use and training
Staff received coronavirus infection-control training, and inspectors saw PPE being worn and disposed of correctly.
“We observed correct disposal and wearing of PPE during our visit.” from the report
Safe admissions and testing
The home had arrangements for self-isolation and testing when people were admitted, as well as regular testing for staff and residents.
“Arrangements were in place for people admitted to the service, including self-isolation and testing on entering the service.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection-control measures are now used for visitors, including screening, hand washing and protective equipment?
- 02How are visits currently arranged, and what alternatives are available if a visit cannot take place?
- 03What testing and self-isolation arrangements are used when someone is admitted to the home?
- 04How are staff trained and checked on the correct use and disposal of PPE?
- 05What information can you provide about the quality of care in areas this targeted inspection did not assess?
This was a targeted inspection of infection prevention and control, with Safe marked inspected but not rated; the other areas were not assessed. This explanation was written from the published report of 12 September 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.
Every inspection of Priscilla Wakefield House
4 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2020Inspected but not ratedSafe: Inspected but not rated
- June 2018Goodup from Requires improvementResponsive: Requires improvementWell-led: Good
- May 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2016Inspected but not ratedSafe: GoodEffective: Requires improvementWell-led: Requires improvement
- April 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 23 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.
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What to check when you visit
At least 100 live-in carers within about an hour of Haringey
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. 75 can care for a couple. 11 years' experience on average.
“Over the time he spent with them he got to know our parents very well and became like part of the family, even joining in family celebrations.”
“Violet is a kind and positive, caring person and we are lucky and delighted to have her caring for our 96 year old grandmother.”
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.