CQC report explained · a residential care home
What the CQC found at Two Wells
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, including visits, testing, protective equipment, admissions, cleaning and vaccination checks. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection, although people told inspectors they felt safe and well cared for.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection, although inspectors noted that infection control policies and governance arrangements were in place.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong infection control and visiting arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 24 January 2022. Inspectors gave the home one day's notice. They looked mainly at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.
Inspectors were assured that visitors were tested, given protective equipment and checked for vaccination or exemption. They also found that admissions, outings and visits were supported by risk assessments, while people's rights and freedoms were considered.
The home was visibly clean and in good order. People said they felt safe and well cared for. The service was inspected but not rated, so this report does not give an overall quality rating or a rated judgement for safe care.
Visitor safety
Visitors were asked health questions, had their temperature checked and were given protective equipment. Testing and vaccination or exemption checks were also required.
“There was a procedure in place to welcome visitors to the home, face masks were available and hand sanitisers at the entrance.” from the report
Clean premises
Inspectors found the premises and equipment visibly clean and in good order. Cleaning schedules and audits showed that cleaning arrangements were effective.
“The premises and equipment were visibly clean and in good order.” from the report
People felt safe
People living at the home told inspectors they felt safe and well cared for. They were involved in daily cleaning tasks and understood the reasons for mask wearing.
“People told us they felt safe and well cared for and were proud to have daily cleaning tasks to ensure their home was clean and safe.” from the report
Safe admissions
The home used risk assessments for admissions, outings and visits. Inspectors found that government requirements were followed while people's rights and freedoms were considered.
“Risk assessments demonstrated that government requirements were being met whilst ensuring people's rights and freedoms were upheld.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now for visitors, including testing, protective equipment and vaccination checks?
- 02How do you currently manage visits while keeping people safe and maintaining a homely environment?
- 03How do you assess and manage the risks when someone is admitted or goes out of the home?
- 04What measures are in place now to manage staffing pressures caused by illness or other COVID-19-related absences?
- 05How do you keep your infection prevention and control policy up to date with current guidance?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was inspected but not rated and did not assess the other key questions. This explanation was written from the published report of 1 February 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 2018
Two Wells rated Good; inspectors found safe, kind and personalised care, with no serious concerns.
Inspectors visited on 7 August 2018 without notice and continued on 8 August with notice. They spoke with people living in the home, a relative, a health professional, managers and support workers. They also checked care records, medicines, staff files, training, incidents, complaints, safety records and the building.
The home supported four people with learning disabilities or autism. Inspectors found enough staff, safe medicines arrangements, suitable recruitment checks and clear plans for risks such as seizures, choking and behaviour that may challenge. People were supported to make choices, stay as independent as possible, access healthcare and take part in activities.
People and relatives described staff as kind, caring and friendly. Inspectors found that privacy, dignity, communication needs and family relationships were respected. The home was rated Good in all five areas and remained Good since the previous inspection.
Safe medicines
Medicines were given by trained staff and records were checked and audited. Inspectors found arrangements for ordering, storage and disposal were safe.
“We found that the home had implemented safe systems and processes which meant people received their medicines on time and in line with the provider's medicine policy.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors observed a calm atmosphere and care that respected privacy, dignity and personal choices.
“During the inspection there was a calm and welcoming atmosphere in the home, we observed moments of friendly banter and laughter.” from the report
Choice and independence
People were involved in daily decisions and supported to build independence. They took part in household tasks, work, community activities and hobbies that mattered to them.
“Promoting independence, involving people and using creative approaches was embedded and normal practice for staff.” from the report
Good monitoring
The home used regular audits and checks covering areas such as care plans, medicines, staff files and safety. Inspectors found these helped prompt improvements.
“These systems were robust, effective, regularly monitored and ensured improvement actions were taken promptly.” from the report
No registered manager in post
minorThe home had not had a registered manager since January 2018. The manager had completed pre-registration checks and submitted an application, but the report does not confirm that registration had been completed.
“The service had not had a registered manager in post since January 2018.” from the report
- 01Has the manager's application to become registered been completed, and who is legally responsible for the home now?
- 02How would staff support my relative if they had a seizure, choking risk or behaviour that may challenge?
- 03How are my relative's communication preferences recorded and used in everyday care?
- 04How would my relative be supported to choose activities, work or community visits that match their interests?
- 05How are families involved in care plan reviews and told about changes in their relative's needs?
This was a full inspection covering all five key questions, with the first day unannounced and the second day announced. This explanation was written from the published report of 11 September 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 Two Wells
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- September 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 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.
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15 live-in carers within about an hour of Dorset
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 £1,040 to £1,340 a week. 11 can care for a couple. 10 years' experience on average.
“Even when things get a bit chaotic (as they sometimes do!), you’ve handled it with patience and a sense of humour — which is gold.”
“Nina was patient, focussed on my aunt's physical well-being, and unfazed by what at the time was a new and uncertain situation”
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.