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CQC report explained · a residential care home

What the CQC found at The Wheatlands

Goodpublished 23 January 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, regular risk assessments and safe medicines management.
Effective?
Good
Staff were suitably trained and people's changing needs were reflected in their care plans. People had support with eating, drinking and healthcare, including help from other professionals when needed.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were supported to express their views and make decisions, including through visual aids and easy-read care plans.
Responsive?
Good
Care plans reflected people's individual needs, wishes, histories and aspirations. People had access to education, community activities and support to try new experiences.
Well-led?
Good
The home had approachable management, regular audits and checks, and systems for using feedback to improve the service. Staff had supervision and opportunities to discuss their practice.
The latest report, explained

What inspectors found, January 2019

Rated Good; inspectors found safe, kind and personalised care, with no breaches identified.

The inspection was unannounced and took place on 3 January 2019. One inspector visited, with a dental inspector also looking at oral health support. Inspectors observed care, spoke with relatives and staff, and checked care records, medicines, training and management records.

The home supported nine younger people with physical disabilities, learning disabilities, sensory impairments or autistic spectrum disorder. Inspectors found enough staff, safe medicines practice, suitable training and regular risk checks. People were treated kindly and supported to make choices, stay independent and take part in activities.

Care was described as individual and regularly reviewed with people and their relatives. People had access to healthcare, and staff worked with other professionals when needed. The home had systems for checking quality, gathering feedback and making improvements.

The home was rated Good in all five areas and Good overall. This was the same overall rating as at the previous inspection, published on 5 July 2016.

What inspectors praised
  • Kind and reassuring staff

    Inspectors saw staff respond calmly and compassionately when a person became distressed. Relatives also said people were happy and safe.

    “We observed caring and positive interactions between people and staff.” from the report
  • Personalised support

    Care plans included people's needs, wishes, life histories and aspirations. A key worker system helped staff build strong relationships with people.

    “Care plans were individualised and people's needs and wishes were considered and planned for.” from the report
  • Choice and independence

    People were involved in meal planning, care decisions and activities. Staff supported people to be as independent as possible.

    “People were encouraged to be active in decision making processes.” from the report
  • Safe care

    Inspectors found enough staff, regular risk reviews and medicines given safely and on time. Staff understood safeguarding responsibilities.

    “People received their medicines on time and in a safe way.” from the report
  • Active management checks

    The home used audits, spot checks, feedback and staff meetings to monitor quality and identify improvements.

    “There were systems in place to effectively monitor the quality and safety of the service.” from the report
What inspectors were concerned about
  • Sexual preferences not yet routinely explored

    minor

    The manager said the home did not specifically ask people about their sexual preferences at the time of the inspection. Further work was planned to include this in future.

    “The registered manager told us the service did not at present specifically ask people about their sexual preferences but would be doing further work with the providers to include this in the future.” from the report
Questions to ask them, based on this report
  1. 01How do you now ask about and support each person's sexual preferences and other diverse needs?
  2. 02How will you make sure my relative's care plan stays up to date as their needs change?
  3. 03How are people involved in choosing activities, meals and daily routines?
  4. 04How do you make sure medicines are given safely and on time, including medicines given when needed?
  5. 05How do you involve relatives in care plan reviews and act on their feedback?

This was an unannounced planned inspection covering all five CQC areas, including the premises, care provided, medicines and a detailed review of oral health support. This explanation was written from the published report of 23 January 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.

The story over the years

Every inspection of The Wheatlands

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Wheatlands →

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

    We are reading this report · the original is on cqc.org.uk

  3. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2011

    Registered with the Care Quality Commission on 21 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.

Next steps

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