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CQC report explained · a residential care home

What the CQC found at 8 -10 Woodlawn Crescent

Goodpublished 14 January 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, risk management, medicines and infection control were all found to be safe.
Effective?
Good
This area was not inspected during this visit, so no new rating is given in this report.
Caring?
Good
This area was not inspected during this visit, so no new rating is given in this report.
Responsive?
Good
This area was not inspected during this visit, so no new rating is given in this report.
Well-led?
Good
Inspectors found clear leadership, regular audits and an open, positive culture. People, relatives, staff and other professionals were involved and their feedback was used.
The latest report, explained

What inspectors found, January 2023

United Response - 8 -10 Woodlawn Crescent was rated Good; inspectors found safe care and clear, positive leadership.

This was an unannounced inspection visit on 9 December 2022. One inspector spoke with people living in the home, relatives or advocates, staff and healthcare professionals. Records about care, risks, staffing, medicines and management were also checked.

The home supports up to four people with learning disabilities. Four people lived there during the inspection. Inspectors found enough suitably trained staff, safe medicines practice, reviewed risk assessments and appropriate safeguarding arrangements.

The home was also found to be open, well organised and person-centred. Staff helped people stay connected with their local community. The overall rating remains Good, as does the rating for Safe and Well-led.

The inspection focused on Safe and Well-led. The other three areas were not inspected during this visit, so this report does not give new ratings for them.

What inspectors praised
  • Safe staffing

    There were enough staff to meet people's needs safely. Recruitment checks and training records were also found to be thorough.

    “Enough staff were provided to flexibly meet people's care and support needs.” from the report
  • Medicines

    Medicines were administered, stored and checked safely. Records were complete and staff training was refreshed.

    “People's medicines records were fully completed and up to date.” from the report
  • Individual risk support

    Staff reviewed risks and supported people to enjoy activities while staying safe. They knew people's routines and responded patiently when people became anxious.

    “People were able to take acceptable risks and enjoy their lives safely.” from the report
  • Positive leadership

    Inspectors found a clear management structure, regular audits and a culture that was open and focused on people's needs.

    “The home had a culture that was positive, open, inclusive, empowering, person-centred and achieved good outcomes for people.” from the report
  • Community links

    People were supported to use local services and take part in activities, including trips out, social events and visits to local parks.

    “Staff made sure that people had access to local resources such as a community activity hub run by the provider where they socialised with friends” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess whether my relative's care is effective and responsive to their individual needs?
  2. 02How are my relative's risk assessments reviewed when their needs, interests or activities change?
  3. 03How do you check that medicines records remain complete and up to date?
  4. 04What activities and community opportunities would be available for my relative?
  5. 05How would you involve our family in care reviews, feedback and decisions about changes to care?

This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected during this visit. This explanation was written from the published report of 14 January 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.

An earlier report, explained

What inspectors found, June 2019

Rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.

This was an unannounced, comprehensive inspection on 8 and 10 May 2019. The inspector observed care, spoke with people, relatives, staff and health professionals, and checked care plans, staff files, medicines and other records.

People appeared happy and comfortable in the home. Inspectors found that risks were assessed, staff understood people's needs, medicines were managed safely, and care plans were detailed and regularly reviewed.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the report found good outcomes and that legal requirements were met in the areas inspected.

What inspectors praised
  • Safe medicines practice

    Medicines were administered, stored and checked safely. Records were complete and current, and staff training was regularly updated.

    “Medicine was safely administered, regularly audited and appropriately stored and disposed of.” from the report
  • Kind and respectful support

    Inspectors saw patient, friendly care that respected people's dignity, privacy and equality.

    “Staff were passionate and compassionate regarding the care they provided that was delivered in an empowering way.” from the report
  • Personalised care

    Care plans recorded people's interests, hobbies, health and life skills, as well as their hopes and the support needed to achieve them.

    “The care plans recorded people's interests, hobbies and health and life skill needs as well as their aspirations and the support required for them to be achieved.” from the report
  • Activities and community life

    People took part in individual and group activities at home and in the community, including trips and social events.

    “Activities were a combination of individual and group, taking place at home and in the community, depending on their nature.” from the report
  • Strong oversight

    The home had up-to-date audits and quality checks. Inspectors found that accidents, incidents and safeguarding alerts were investigated and recorded.

    “Audits were carried out by the manager, staff and senior management external to the home. They were up to date.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What happened with the manager's application for registration after the inspection?
  2. 02How are each person's care plans and risk assessments reviewed when their needs or interests change?
  3. 03What specialist training do staff receive for the needs of people living here, and when is it refreshed?
  4. 04How are medicines audited, and how do you make sure medicine records remain complete and up to date?
  5. 05How can people and relatives raise a complaint, and how are complaints recorded and investigated?

This was an unannounced, comprehensive inspection that looked at both the premises and the care provided, and assessed all five key questions. This explanation was written from the published report of 14 June 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 8 -10 Woodlawn Crescent

2 rated inspections over 4 years: the service has held its Good rating throughout.

  1. January 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 8 -10 Woodlawn Crescent →

  2. June 2019Good
    Safe: GoodWell-led: Good

    Read what inspectors found at 8 -10 Woodlawn Crescent →

  3. May 2018

    Registered with the Care Quality Commission on 10 May 2018.

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

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Richmond upon Thames

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 £1,270 a week. 78 can care for a couple. 11 years' experience on average.

“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
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See live-in carers near Richmond upon ThamesProfiles, rates and reviews are free to look at.

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.