CQC report explained · a residential care home
What the CQC found at 1B Toll Gate Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found systems to protect people from abuse and avoidable harm. There were enough staff, medicines were managed safely and risks were assessed without unnecessarily restricting people's freedom.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff had relevant training and support. Staff worked with health professionals and followed the Mental Capacity Act and Deprivation of Liberty Safeguards.
- Caring?
- Outstanding
- Staff knew people extremely well and treated them with compassion, dignity and respect. People were involved in decisions, supported to be independent and helped to keep in touch with relatives.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People were supported with activities, communication, community involvement and their individual preferences.
- Well-led?
- Good
- Inspectors found strong management, committed staff and effective quality checks. The home worked with health professionals and encouraged people, relatives and staff to share their views.
What inspectors found, May 2019
Vision Homes Association - 1B Toll Gate Road was rated Good overall, with Outstanding caring; inspectors found safe, personalised care and a small end-of-life care gap.
This was a planned, unannounced inspection. One inspector visited on 22 March 2019, observed care, spoke with people, relatives and staff, and checked care, medicines and management records. Further information was received by 3 April 2019.
The home supported five adults with visual impairment and other complex needs. Inspectors found that people were safe, had enough staff, received their medicines properly and were supported by trained staff. Care was described as exceptionally kind and person-centred.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding. The last inspection also rated the home Good.
Exceptionally caring staff
Inspectors found a compassionate team who valued people as individuals and understood their needs very well.
“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
Personalised support
Each person had detailed information and a support plan designed around their preferences, communication and changing needs.
“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
Safe staffing and medicines
There were enough staff to support care and activities. Medicines were stored, checked and given safely.
“Staff managed medicines safely and gave people their medicines as the prescriber intended.” from the report
Choice and independence
People were supported to make everyday choices, take part in household tasks and activities, and stay connected with family and friends.
“The staff team encouraged people to be as independent as possible.” from the report
End-of-life care arrangements
minorThe manager said the home needed to put more in place for end-of-life care. Training for managers had been arranged for shortly after the inspection.
“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 arrangements and manager training were put in place after the inspection?
- 02How would you assess and review my relative's needs before admission and after any changes?
- 03How would staff communicate with my relative and support their visual impairment and other conditions?
- 04What activities and community opportunities could my relative choose from?
- 05How would my relative and family raise concerns or make a complaint?
This was a planned, unannounced inspection covering all five CQC questions and both the premises and the care provided. This explanation was written from the published report of 21 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 1B 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: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- August 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.