CQC report explained · a residential care home
What the CQC found at Wells Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were safe, staff understood support plans, incidents were reviewed and staffing was increased when needed. The previous rating was Good, but it was not reviewed fully during this visit.
- Effective?
- Good
- This question was not assessed during the targeted inspection.
- Caring?
- Good
- This question was not assessed during the targeted inspection.
- Responsive?
- Good
- This question was not assessed during the targeted inspection.
- Well-led?
- Good
- Inspectors found the home was well led for the issues checked. The previous rating was Good, but the full question was not reviewed.
What inspectors found, October 2020
Targeted inspection, not rated; inspectors found people were safe and the home was well led when checking incidents.
This was a targeted inspection on 18 September 2020. Inspectors were checking how the home responded to incidents involving behaviours that challenged between people. They reviewed records, spoke with five people who lived there and four staff members.
Inspectors found people were safe and properly supported. Staff understood people's positive behaviour support plans, incidents were reviewed, and extra staff were arranged when people needed more support. Infection control measures were also being followed.
The home was described as open and inclusive. People had trusting relationships with staff, and the manager worked with safeguarding, health and social care professionals. The service was not given a new rating because this inspection did not cover every area. The previous overall rating and the ratings for Safe and Well-led were Good at the inspection on 7 March 2018.
Support during difficult behaviour
People had individual positive behaviour support plans. Staff understood them and used them consistently.
“People had positive behaviour support plans (PBS) which helped staff to support people consistently.” from the report
Learning from incidents
The home monitored accidents and incidents, reviewed what happened and updated support when needed.
“There were easy to follow systems in place to monitor accidents and incidents.” from the report
Enough staff
Inspectors found enough staff were available. Extra staff were booked when people needed additional support during a crisis.
“When needed, additional staff were booked to provide additional support to people who needed it.” from the report
Open culture
People and staff could speak with the manager, and staff said they felt supported. Inspectors also saw that the home encouraged contact with families.
“People and staff benefited as there was an open and inclusive culture in the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How often is each person's positive behaviour support plan reviewed, and what changes have been made after recent incidents?
- 02How do you decide when extra staff are needed during a crisis?
- 03What records do you keep to show that incidents are reviewed and lessons are acted on?
- 04How will you support and review my relative's contact with their family?
- 05When is the next comprehensive inspection expected, and what areas will it cover?
This was a targeted inspection of parts of Safe and Well-led relating to incidents involving behaviours that challenged; all key questions were to be assessed at the next comprehensive inspection. This explanation was written from the published report of 29 October 2020 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, March 2018
Wells Road was rated Good; inspectors found kind, personalised care, with some safety checks and food labelling needing attention.
The inspection was unannounced and took place on 31 January 2018. Inspectors spoke with five people living there, four staff members, the registered manager and two relatives. They observed care, reviewed two people's care and records, and checked how the home was monitored.
The home supported six people with complex learning disabilities or mental health needs. Inspectors found people were safe, treated with warmth and respect, and supported by staff who understood their individual needs. Medicines, recruitment, staffing, care planning, activities and complaints systems were found to be well managed.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found the home was meeting the regulations checked and providing a good standard of care at the time of the visit.
Kind and respectful staff
Staff used calm, friendly and reassuring approaches. People appeared relaxed and comfortable in their company.
“We saw and heard interactions between staff and people at the home that were warm and friendly.” from the report
Personalised support
Care plans reflected people's individual needs, histories, preferences and risks. Staff showed a good understanding of how to support each person.
“Care plans supported and set out for staff the care to be delivered.” from the report
Support for independence
People were supported to make choices, prepare meals, manage money and take part in activities at home and in the community.
“Staff supported people to gain independence with a wide range of activities in the home and the community.” from the report
Good staff support
Staff received supervision, induction and regular training linked to people's needs, including mental health and medicines management.
“Training records confirmed there was regular training provided for staff.” from the report
Open management
The manager was approachable and the provider used audits and action plans to check the quality of care and follow up improvements.
“There were a number of quality monitoring systems and checks being carried out of the service.” from the report
Food labelling issue
minorInspectors found an opened container of lasagne that was not labelled and staff did not know it was there. It was thrown away when this was pointed out.
“A half used container of lasagne, covered with foil was found on a ledge in the kitchen.” from the report
- 01How do you make sure fire alarm, fire exit and fire door checks are completed every month?
- 02Have the vehicle, radiator and electrical equipment checks been brought up to date since the inspection?
- 03How do you check that opened food is labelled, dated and stored correctly?
- 04How will you support my relative to build independence with activities, cooking or managing money?
- 05How will my relative and our family be involved in reviewing their care plan and activities?
This was an inspection of all five CQC areas, and the report says the home remained Good in each area compared with the previous inspection in November 2015. This explanation was written from the published report of 8 March 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 Wells Road
2 rated inspections over 2 years: the service has held its Good rating throughout.
- October 2020Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- March 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 26 April 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
40 live-in carers within about an hour of Bristol, City of
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 £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.