CQC report explained · a residential care home
What the CQC found at Wallfield House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitor screening, PPE, testing, hygiene and arrangements for preventing or managing outbreaks.
- Effective?
- Requires improvement
- This area was not rated in this targeted inspection.
- Caring?
- Good
- This area was not rated in this targeted inspection.
- Responsive?
- Good
- This area was not rated in this targeted inspection.
- Well-led?
- Good
- This area was not rated in this targeted inspection.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection-control arrangements during a targeted COVID-19 inspection.
The inspection took place on 10 March 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, focused on infection prevention and control.
Inspectors found good practice in how visitors were managed, including information before arrival, screening, testing and personal protective equipment. The home also supported contact with relatives through video calls, phones, garden visits and other arrangements.
The home had regular testing for staff and residents. Staff also carried out checks such as temperature and oxygen level observations. Inspectors said they were assured about infection prevention, admissions, protective equipment, testing, hygiene and the management of possible outbreaks.
The service was inspected but not rated. This means the visit did not provide a full overall rating of the home or ratings for all five areas of care.
Visitor safety
Visitors received information before arriving. The home used screening, testing and PPE to help protect visitors and residents.
“Information and guidance was given prior to visitors arrival.” from the report
Keeping families connected
The home helped residents stay in touch with relatives during the pandemic through calls and different types of visits.
“Throughout the pandemic, people living at the home had been encouraged to use video calls and phones to maintain a connection with friends and relatives.” from the report
Regular testing
Staff had weekly tests, while residents had monthly tests and further tests if they had symptoms.
“The home had a planned testing process for staff and people using the service.” from the report
Monitoring people's health
Staff carried out regular checks to identify possible illness early and support isolation when needed.
“The staff completed regular observations of people, including twice daily temperature checks, oxygen saturation levels and any related COVID-19 symptoms.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current overall CQC rating, given that this inspection was not rated?
- 02How have your infection-control, visitor and testing arrangements changed since the inspection on 10 March 2021?
- 03How do you currently help residents keep in contact with their relatives?
- 04What were the findings of the home's most recent full inspection covering care, staffing, medicines and leadership?
- 05How do you respond when a resident develops symptoms of an infection?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection of all five areas of care. This explanation was written from the published report of 31 March 2021 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, November 2018
Wallfield House rated Good overall; inspectors found safe, kind care, but Effective requires improvement because a liberty restriction application had not been identified.
Inspectors made an unannounced visit on 13 September 2018. They observed care, spoke with people, relatives and staff, and checked care records, medicines, staff files and quality checks.
They found people felt safe, staff were kind, medicines were managed safely and care was personalised. People had suitable food, access to health professionals, activities and visitors.
The main shortfall was under Effective. The home had not identified when it needed to apply for a Deprivation of Liberty Safeguard, which could mean a restriction on someone's liberty was not legally authorised. The overall rating was Good, with Effective rated Requires Improvement.
People felt safe
Risks were assessed and staff knew how to support people safely. Inspectors also found enough staff and safe recruitment arrangements.
“People felt safe and received care from staff who knew how to reduce risks to keep them safe.” from the report
Kind and respectful staff
Staff treated people with dignity, offered choices and encouraged independence. Inspectors saw a relaxed atmosphere and respectful communication.
“Staff were always courteous and kind towards people.” from the report
Personalised care
Staff knew people's routines, interests and histories. Care plans were updated when needs changed.
“People received care and support in the way they preferred and their support needs had been discussed and agreed with them.” from the report
Good management checks
The management team monitored medicines, care records, support plans, health and safety and incidents. Feedback was collected and used to make changes.
“The provider carried out quality checks on how the service was managed.” from the report
Liberty safeguards
needs fixingThe registered manager had not identified when an application was needed to restrict a person's liberty lawfully. The manager agreed to submit the application after inspectors raised this.
“However, the registered manager had not identified when it was necessary to apply for a DoLS to ensure that any restrictions placed on a person's liberty was lawful.” from the report
- 01How do you identify when a person may need a Deprivation of Liberty Safeguard application?
- 02What happened after inspectors raised the missing application, and are all current applications and authorisations up to date?
- 03What have you done to improve communication and information sharing with relatives?
- 04How will you make sure care plans continue to reflect changes in each person's needs and preferences?
- 05What activities and support are available for someone with my relative's interests, faith and level of independence?
This was an unannounced first inspection under the new provider covering all five questions; end-of-life care was not assessed because the service was not supporting people with it. This explanation was written from the published report of 8 November 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 Wallfield House
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2018GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- July 2017
Registered with the Care Quality Commission on 31 July 2017.
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
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62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.