CQC report explained · a residential care home
What the CQC found at 1C Toll Gate Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, suitable recruitment checks, safe medicines management and systems for managing risks and learning from incidents.
- 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 food, drink, healthcare and lawful decision-making.
- Caring?
- Outstanding
- Inspectors found exceptionally caring staff who understood people’s communication, preferences and histories. People were treated with dignity, involved in decisions and supported to be as independent as possible.
- Responsive?
- Good
- Care was personalised and support plans were detailed and regularly reviewed. People were supported with activities, communication, community involvement and complaints, although the home identified a need to improve end-of-life care.
- Well-led?
- Good
- The home had strong management, supportive staff relationships and quality checks to identify and improve shortfalls. Managers worked with people, relatives and other professionals.
What inspectors found, May 2019
Rated Good overall, with Outstanding caring; inspectors found highly personalised support and only a small area for improvement in end-of-life care.
This was a planned, unannounced inspection of the home. One inspector visited on 22 March 2019 and reviewed information, watched staff support people, spoke with two residents, two staff members and the registered manager, and checked one person’s care records and other records.
The home supports up to five adults with visual impairment and other complex needs. Four people lived there when inspectors visited. They found people were safe, medicines were managed properly, staffing was sufficient and staff were trained and supported.
The strongest finding was caring, which was rated Outstanding. Inspectors saw warm relationships, respect for people’s choices and dignity, and staff who knew each person extremely well. Safe, effective, responsive and well-led were all rated Good.
The home had been rated Good overall at the previous inspection in 2016. Inspectors noted that managers recognised more needed to be done for end-of-life care, and training for managers had been arranged after the visit.
Exceptionally caring staff
Inspectors found a warm, person-centred culture. Staff used communication methods people could understand and built close, trusting relationships.
“People were truly respected and valued as individuals; and empowered as partners in their care.” from the report
Personalised support
Staff knew people’s needs, preferences and life histories very well. Support plans were detailed and reviewed when needs changed.
“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 medicines and staffing
There were enough staff, and medicines were stored, checked and given safely. Staff competence was regularly checked.
“Staff managed medicines safely and gave people their medicines as the prescriber intended.” from the report
Choice and independence
People were involved in everyday decisions and supported to do as much as they could for themselves. Staff also helped people keep in touch with relatives and take part in activities.
“The staff team encouraged people to be as independent as possible.” from the report
End-of-life care needed improvement
needs fixingThe manager and staff recognised that the home needed stronger arrangements and more training for end-of-life care. Training for managers had been arranged 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 has been put in place for end-of-life care since the inspection?
- 02What end-of-life training have managers and care staff completed?
- 03How will you assess and review my relative’s needs before admission and after they move in?
- 04How do you support people with visual impairment and other complex needs to communicate choices and remain independent?
- 05How many staff would usually be on duty, and how would staffing change if my relative’s needs increased?
This was an unannounced planned inspection covering all five CQC questions, the premises and care provided; inspectors reviewed one person’s care records and spoke with two people living at the home. 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 1C 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.
- May 2013
Report published without a new overall rating.
- July 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.
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
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.