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What the CQC found at Welland House - Occupation Road

Goodpublished 24 November 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found detailed and up-to-date risk assessments, enough staff, safe recruitment and accurate medicines records. The home was clean and incidents were recorded and reported accurately.
Effective?
Good
People's needs were assessed before they moved in. Staff had relevant training, including training for complex needs, and people received suitable food, fluids and healthcare support.
Caring?
Good
Staff treated people with kindness, dignity and respect. Families were welcomed and involved in care decisions where appropriate.
Responsive?
Good
Care plans recorded people's preferences and ways of communicating. People were supported with interests, activities and accessible information.
Well-led?
Requires improvement
The home had audits, staff support and a person-centred culture. However, some safeguarding alerts were not sent to the CQC as required.
The latest report, explained

What inspectors found, November 2018

Welland House - Occupation Road was rated Good overall; inspectors found kind, safe care but weaknesses in management notifications.

Inspectors made an unannounced, comprehensive visit on 24 October 2018. They observed care, spoke with managers and staff, contacted two relatives, and checked care records, medicines, staff files, training and quality checks. Nine people were using the home on the day.

The home was rated Good for safe, effective, caring and responsive care. Inspectors found detailed risk assessments, enough staff, accurate medicines records, suitable training, kind support and personalised activities.

The home was rated Requires Improvement for well-led. Three safeguarding alerts about medication errors had been sent to the local authority but not to the CQC as required. The overall rating stayed Good, as it had been at the previous inspection in June 2016.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels matched people's assessed needs. Staff were available to provide care without rushing and supported meaningful activities.

    “Staffing numbers were sufficient to meet people's needs.” from the report
  • Kind and respectful care

    Staff were observed interacting warmly with people. Families said their relatives were treated with dignity and compassion.

    “During our inspection we saw that staff were interacting with people in a warm and friendly manner.” from the report
  • Personalised support

    Care plans included people's preferences, interests and ways of communicating, including body language and facial expressions.

    “People received personalised care that was responsive to their needs.” from the report
  • Staff training

    Staff received induction, supervision and training for people's specific needs, including PEG care.

    “Additional training had been arranged about people's specific needs, for example, percutaneous endoscopic gastrostomy (PEG) training.” from the report
What inspectors were concerned about
  • Safeguarding notifications

    needs fixing

    Three safeguarding alerts about medication errors were raised with the local authority but were not sent to the CQC. Managers told inspectors they would send all such alerts to the CQC in future.

    “We found three safeguarding alerts had been raised by the service to the local authority, after medication errors had been discovered, but they had not been sent in to the CQC to notify us.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to ensure every safeguarding alert and medication incident is notified to the CQC when required?
  2. 02How are medication errors reviewed, and how do you check that lessons from them have been acted on?
  3. 03How will you monitor the area rated Requires Improvement for well-led?
  4. 04How are families involved in reviewing care plans and decisions about their relative's support?
  5. 05How do you make sure staffing levels remain suitable when people's needs change?

This was an unannounced comprehensive inspection covering all five key questions, and the overall rating remained Good from the June 2016 inspection. This explanation was written from the published report of 24 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.

The story over the years

Every inspection of Welland House - Occupation Road

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. November 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Welland House - Occupation Road →

  2. July 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. July 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 20 December 2010.

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.

Next steps

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Care at home

89 live-in carers within about an hour of North Northamptonshire

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Most charge £980 to £1,260 a week. 76 can care for a couple. 12 years' experience on average.

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