CQC report explained · a residential care home
What the CQC found at Welholme Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. There were enough skilled staff, safeguarding procedures were in place, recruitment checks were completed and medicines were stored and given safely.
- Effective?
- Good
- Care was based on people's needs, strengths and goals. Staff received training, worked with health professionals and supported people with food, healthcare and decisions about their care.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were supported to make choices, keep relationships and build independence.
- Responsive?
- Good
- Care plans covered people's physical, emotional, psychological and social needs and were reviewed when needs changed. Activities, community involvement and complaint handling were also provided.
- Well-led?
- Good
- The management team promoted person-centred care and used audits, feedback and observations to check quality. People and relatives were invited to share their views.
What inspectors found, June 2019
Rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced inspection on 08 and 10 May 2019. Inspectors spoke with people living at the home, a relative, staff, the manager and a visiting health professional. They reviewed care records, medicines records, staff files, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management and suitable safeguarding arrangements. People were supported to be independent and to develop life skills.
Inspectors found kind and respectful relationships. Care was adapted to people's needs, interests and goals. The home worked with health professionals, dealt with complaints appropriately and used checks and feedback to improve the service.
The previous inspection, published on 08 November 2016, also rated the home Good. The report says legal requirements were met and that the CQC would continue to monitor the home through its normal inspection schedule.
Safe medicines support
Inspectors found that medicines were stored, given and disposed of safely. Staff were trained and checks were used to address any problems.
“Staff were trained in the safe management of medicines. Medicine checks and audits were carried out, issues found were addressed.” from the report
Personalised care
Staff considered people's needs, interests, routines, preferences and goals. Support plans were reviewed when people's needs changed.
“People's support plans were reviewed regularly as people's needs changed.” from the report
Good oversight
The management team used audits, observations, meetings and feedback to monitor the service and make improvements.
“Robust checks and audits were undertaken the results of these were shared with the higher management team.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staffing levels and staff skills checked now for my relative's particular needs?
- 02How will my relative be supported to manage medicines safely and develop independence where possible?
- 03How are care plans reviewed when a person's mental health, physical needs or goals change?
- 04What activities and community opportunities are available for my relative now?
- 05How can my relative and our family raise concerns, and how will the home respond?
This was a planned, unannounced inspection that looked at the overall quality of the home and all five CQC areas. This explanation was written from the published report of 19 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.
What inspectors found, November 2016
Rated Good overall; inspectors found safe, kind and personalised care, but the home needed to improve its leadership and support for meaningful activities.
This was an unannounced inspection on 9 and 15 September 2016. One inspector observed care, spoke with people, a relative, staff and health and social care professionals, and checked care records, medicines, staff files, complaints and management records.
The home supported 15 people living with long-term mental health conditions. Inspectors found people were safe, received their medicines properly, had suitable food and were supported by kind staff who respected their choices, privacy and dignity. Care plans were regularly reviewed and people were involved in decisions about their support.
The home was rated Good for Safe, Effective, Caring and Responsive. It was rated Requires Improvement for Well-led. Audits did not always contain enough detail about incidents, and staff did not always follow good practice guidance to help people engage more fully in the life of the home.
Safe support
The home used risk assessments and behaviour plans, checked staff before employment and trained staff in safeguarding and medicines. Incidents were recorded and action was taken to reduce the chance of them happening again.
“A range of risk and management plans were available to help staff minimise risks and help keep people safe from potential harm.” from the report
Kind and respectful staff
Inspectors saw staff treating people with kindness and empathy. People were supported to make choices, keep their privacy and remain as independent as possible.
“We observed staff talking with people in a kind and compassionate way whilst demonstrating empathy for their individual needs and conditions.” from the report
Personalised care
Care plans included people's histories, preferences and interests. Plans and risk assessments were reviewed regularly, with help from health and social care professionals when needed.
“There was evidence of people's participation and involvement in decisions about their support to ensure their wishes and feelings were met.” from the report
Food and health support
People spoke positively about the food. The home provided home-cooked meals, monitored nutrition and involved specialists when concerns were identified.
“We found people's nutritional status was assessed and kept under regular review with appropriate action taken to involve specialists, such as dieticians when concerns were noted.” from the report
Quality checks lacked detail
needs fixingAudits of safeguarding incidents did not record enough detail to identify patterns or trends quickly. The provider was developing its quality checks, but the area still needed improvement.
“They failed to document much detail of the actual incidents, which meant it was difficult to quickly analyse and determine whether there were any patterns or trends.” from the report
Not enough time for engagement
needs fixingStaff spent much of their time cooking and cleaning, leaving less time to help people take part in activities and develop responsibility for their lives. Inspectors also found staff were not always following good practice guidance in mental health.
“Staff had little time to work directly with them in order to help people to become involved and actively engage with the service and take responsibility for their lives.” from the report
Activities could be more consistent
minorActivities and trips took place, but some people could not always go out because staff were not available. People sometimes declined activities and needed continued encouragement.
“A person who used the service told us, "Staff do try but people sometimes refuse…I would like to go to Cleethorpes but they can't always spare the staff.” from the report
- 01What has changed in the quality audits so incidents are recorded in enough detail to identify patterns?
- 02How will staff have enough time for activities and one-to-one engagement, alongside cooking and cleaning?
- 03What mental health good practice guidance do staff now use, and how is their understanding checked?
- 04What activities and trips are available, and how do you support people who are reluctant to join in?
- 05How are my relative's care plan, risks and interests reviewed and updated?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 8 November 2016 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 Welholme Road
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 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
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12 live-in carers within about an hour of North East Lincolnshire
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 £1,350 a week. 10 can care for a couple. 7 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
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.