CQC report explained · a nursing home
What the CQC found at The Winsor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, there were enough staff, and medicines were given by trained nurses whose competence was checked. Inspectors also found suitable risk assessments, infection controls and emergency plans.
- Effective?
- Good
- This question was not inspected during this visit. The previous rating was used to calculate the overall rating.
- Caring?
- Good
- This question was not inspected during this visit. The previous rating was used to calculate the overall rating.
- Responsive?
- Good
- The home had improved its activities programme and offered group and individual activities. Care plans recorded people's needs, preferences and end-of-life wishes, although there was little evidence that people and their representatives helped write and review them.
- Well-led?
- Good
- Inspectors found approachable leadership, clear responsibilities and quality checks that were used to make improvements. People, relatives and staff could raise concerns and make suggestions.
What inspectors found, July 2023
The Winsor Nursing Home is rated Good; inspectors found safe, kind and well-organised care, with better activities but limited evidence of people helping review their care plans.
This was an unannounced focused inspection on 20 and 21 June 2023. One inspector spoke with people living at the home, relatives, staff and healthcare professionals. They also observed care and checked care plans, medicines records, recruitment files, meeting minutes and health and safety records.
The home was rated Good overall. Safe, Responsive and Well-led were rated Good. Inspectors found enough staff, safe medicines practice, suitable infection control and personalised care plans. People said they felt safe, respected and happy with the care.
Activities had improved since the last inspection. There was a wider range of group and individual activities, including visits from a therapy dog and musicians. The Responsive rating improved from Requires Improvement to Good. Effective and Caring were not inspected during this visit, so their previous ratings were used when calculating the overall rating.
Enough staff
Inspectors saw staff respond promptly to requests and found staffing levels sufficient for people's needs.
“There were sufficient staff to meet people's needs.” from the report
Safe medicines
Medicines were given by trained nurses, with regular checks of their competence. Records and stock checks were accurate.
“People received their medicines safely from trained nurses who had their competency assessed to make sure their practice was safe.” from the report
Improved activities
The activities programme had improved since the last inspection, with both group sessions and individual activities for people who did not want to join groups.
“People had access to a range of activities. There were group activities available and individual sessions for people who chose not to join in.” from the report
Friendly atmosphere
People and visitors described staff as friendly and welcoming. Inspectors found an inclusive atmosphere where people felt they belonged.
“Staff morale was good which created a nice atmosphere for people to live in.” from the report
Quality monitoring
The home used audits, management visits and wider quality checks to identify shortfalls and make improvements.
“The provider had effective systems to monitor quality and plan ongoing improvements.” from the report
Limited evidence of care plan involvement
needs fixingCare plans were detailed and personalised, but inspectors found little evidence that people or their representatives had been involved in writing and reviewing them.
“The registered manager told us they tried to involve people and their representatives in writing and reviewing their care plans, however there was little evidence of this.” from the report
- 01How will my relative and our family be involved in writing and reviewing their care plan?
- 02What activities would be suitable for my relative, including if they do not want to join group sessions?
- 03How do you make sure there are enough staff at the times my relative needs help?
- 04How will you manage my relative's medicines, including any medicines given only when needed?
- 05How will you record and follow my relative's wishes about end-of-life care?
This was an unannounced focused inspection of Safe, Responsive and Well-led only; Effective and Caring were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 11 July 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, November 2020
The Winsor Nursing Home was inspected but not rated; inspectors found good infection control and thoughtful arrangements for visitors and new admissions.
Inspectors visited on 21 October 2020. This was an announced, targeted inspection during the coronavirus pandemic. It looked at infection prevention and control in the home.
Inspectors found that staff were following current infection control practices. They were assured about visitors, social distancing, shielding, personal protective equipment, testing, cleaning, admissions and managing possible outbreaks.
The home had a dedicated space for visits and made individual arrangements for people who were too frail to leave their rooms. People continued to have activities and entertainment. The acting manager kept people, staff and families updated about safety measures.
The home was inspected but not rated. This means the report does not provide a full overall quality rating or ratings for all five areas of care.
Infection control
Inspectors found that staff were following up-to-date infection prevention and control practices to help protect people.
“Staff were following up to date infection prevention and control practices to help keep people safe.” from the report
Visiting arrangements
The home provided a dedicated indoor visiting space and made separate arrangements for people who were too frail to leave their rooms.
“There was a dedicated indoor space for visitors to see their loved one in a safe and socially distanced way.” from the report
Activities and wellbeing
People continued to have access to activities and entertainment during the inspection period.
“People continued to have access to activities and entertainment to promote their well being.” from the report
Individual admissions
New admissions were planned around each person, including preparing rooms with suitable signs and considering personal preferences.
“The acting manager ensured that new admissions were carried out in a safe and individualised way.” from the report
Communication
The acting manager regularly communicated with people, staff and families about the precautions being taken.
“The acting manager was communicating with people, staff and family members regularly to make sure everyone had an understanding of the precautions being taken and how to keep people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How are infection prevention and control arrangements being kept up to date now?
- 02How can relatives visit someone who is too frail to leave their room?
- 03What testing and personal protective equipment arrangements are currently in place for people and staff?
- 04How are new admissions assessed and how are rooms prepared for each person?
- 05What activities and entertainment are currently available to support residents' wellbeing?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 12 November 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 The Winsor Nursing Home
3 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2020Inspected but not ratedSafe: Inspected but not rated
- October 2018Goodstayed GoodSafe: GoodResponsive: Requires improvementWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- November 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 16 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
76 live-in carers within about two hours of Somerset
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 £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.