CQC report explained · a residential care home
What the CQC found at 1A Toll Gate Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, risk management, infection control and medicines management were described as safe.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff had relevant training and support. Staff worked with health professionals and supported people with nutrition, healthcare and daily choices.
- Caring?
- Outstanding
- Staff treated people with compassion, dignity and respect. They knew people's communication, preferences and routines exceptionally well and supported people to make choices and remain independent.
- Responsive?
- Good
- Care plans were personalised and reviewed regularly. People were supported with activities, community involvement, communication, technology and contact with relatives.
- Well-led?
- Good
- Inspectors found strong management, supportive staff and robust quality checks. The home worked with families, staff and outside professionals and aimed to keep improving.
What inspectors found, May 2019
Vision Homes Association - 1A Toll Gate Road was rated Good overall, with Outstanding caring and no breaches reported.
This was a planned, unannounced inspection. One inspector visited the home, observed staff and spoke with one resident, four staff members and a visiting healthcare professional. The inspector also reviewed one person's care records and other management records.
The home provides personal care for up to five adults with complex needs, including visual impairment. Four people were living there during the inspection. Inspectors found people were safe, received effective support and had their needs met.
Caring was rated Outstanding. Staff knew people extremely well, respected their choices and supported their independence, activities and relationships. Safe, Effective, Responsive and Well-led were all rated Good.
The overall rating was Good, the same as at the previous inspection in 2016. The report says the home had systems for checking quality and managing risks. It also noted that more end-of-life care arrangements and manager training were being put in place after the visit.
Kind and personal care
Staff knew people exceptionally well and used this knowledge to provide care around each person's communication, preferences and choices.
“People were truly valued and were cared for and supported by an exceptionally dedicated, compassionate and caring team of staff and managers.” from the report
Respect and independence
People were involved in decisions about their daily lives. Staff supported them to do as much as possible for themselves while respecting their preferences.
“The staff team encouraged people to be as independent as possible.” from the report
Safe medicines and staffing
Inspectors found enough staff to meet people's needs. Medicines were stored, administered and checked safely, with staff training and competence checks.
“Staff managed medicines safely and gave people their medicines as the prescriber intended.” from the report
Good partnership working
Staff worked with a wide range of health professionals. The report gives an example of the home helping to secure diabetes monitoring technology for a person with unstable diabetes.
“Staff worked closely with a wide range of other services, such as the hospital, so that people's needs continued to be met if they needed hospital treatment.” from the report
Personalised activities and communication
Support plans were detailed and regularly reviewed. People were supported to take part in activities, use technology and communicate in ways that suited them.
“Each person who lived at the home had a personalised support plan and very detailed information about them and their lives so that staff could support them in the way they wanted.” from the report
End-of-life planning was still developing
minorThe manager said the home needed more arrangements in place for end-of-life care. Training for managers had been arranged for shortly after the inspection, so ask whether this has now been completed.
“The staff team had recognised that they needed more in place for end-of-life care and training for managers had been arranged for shortly after our visit.” from the report
- 01What end-of-life care training was completed after the inspection, and what arrangements are now recorded for residents?
- 02How would you match the current staff team and their training to my relative's complex needs and communication methods?
- 03How are medicines reviewed when a person's needs change, and how would relatives be kept informed?
- 04Can you show me how my relative's support plan records their preferences, activities, communication and independence goals?
- 05How do you involve relatives and outside health professionals when a person's health or care needs change?
This was a planned inspection covering all five CQC questions, including the accommodation and personal care; the inspector reviewed one person's care records and spoke with one resident. This explanation was written from the published report of 22 May 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.
Every inspection of 1A Toll Gate Road
2 rated inspections over 3 years: the service has held its Good rating throughout.
- May 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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.
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57 live-in carers within about an hour of Shropshire
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 £960 to £1,230 a week. 52 can care for a couple. 9 years' experience on average.
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.