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CQC report explained · a residential care home

What the CQC found at Wembdon Rise

Goodpublished 8 November 2022, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found suitable safeguarding procedures, risk assessments, fire safety arrangements, recruitment checks and medicines systems. Staffing shortages were identified, although essential support was being provided.
Effective?
Good
People's needs were assessed and care plans supported their choices. Staff received induction, training and supervision, and people were supported to access healthcare and maintain a healthy diet.
Caring?
Good
Staff knew people well and provided kind, respectful care. People were supported with privacy, dignity, independence and personal choices.
Responsive?
Good
Care plans were personalised and regularly reviewed. People were supported to communicate, maintain relationships and take part in activities and outings they chose.
Well-led?
Good
Inspectors found regular quality checks, an open management approach and a positive, person-centred culture. Staff turnover and some concerns about recognition from the provider were noted.
The latest report, explained

What inspectors found, November 2022

Rated Good; inspectors found kind, person-centred care, but staffing shortages sometimes affected outings.

This was an unannounced inspection on 28 September and 4 October 2022. Two inspectors visited the home. They spoke with two people, six relatives and five staff, and checked care plans, medicines records, recruitment checks, training records and management documents.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and dignity, supported to make choices, access healthcare and take part in activities. Medicines, infection control, risk assessments and safeguarding arrangements were also found to be managed safely.

The main weakness was staffing. Recruitment and retention difficulties meant the home did not always have its required staffing level. Inspectors found people still received essential support, but staff said shortages could delay outings and relatives reported some unsettled feelings because of staff changes.

What inspectors praised
  • Choice and independence

    People were supported to make everyday decisions, personalise their flats and pursue their own interests and goals.

    “The service supported people to have choice, control and independence.” from the report
  • Kind and respectful care

    Staff understood people's individual needs and supported their privacy, dignity and wellbeing.

    “People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
  • Good healthcare support

    The home worked with health professionals and supported people to attend medical and dental appointments.

    “Care plans demonstrated that advice had been sought from health professionals as required.” from the report
  • Positive management

    Inspectors found a person-centred culture, regular quality checks and managers who listened to staff and relatives.

    “There was a positive and person-centred culture within the service.” from the report
What inspectors were concerned about
  • Staffing shortages

    needs fixing

    Recruitment and retention problems meant the required staffing level was not always achieved. Staff said this could affect outings, and relatives reported concerns about changes in staff.

    “Sometimes it means a person can't go out tomorrow, and we'll go the next day or get a family member to come along instead.” from the report
  • Staff recognition

    minor

    Staff said they felt valued by the manager but some did not feel recognised by the provider.

    “We don't get a lot of recognition from [The provider]” from the report
Questions to ask them, based on this report
  1. 01How many staff are normally on duty, and is the home currently meeting its required staffing level?
  2. 02How do you keep support consistent when there are staff shortages or changes in the staff team?
  3. 03How would you make sure my relative can still attend chosen activities and community outings?
  4. 04How are my relative's care plan, communication needs and personal choices reviewed with them and their family?
  5. 05How can relatives raise concerns, and how will we be told what action has been taken?

This was an unannounced inspection covering all five key questions, including infection prevention and control; it was the first rating inspection under the current provider. This explanation was written from the published report of 8 November 2022 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.

An earlier report, explained

What inspectors found, February 2021

Wembdon Rise was inspected but not rated; inspectors were assured that infection prevention and control measures were keeping people safe after a COVID-19 outbreak.

This was an announced, targeted inspection on 8 February 2021. It looked at infection prevention and control because the home had recently had a COVID-19 outbreak.

The outbreak had cleared by the inspection. Inspectors were assured that staff used personal protective equipment correctly, followed hand hygiene and social distancing measures, and were allocated to individual flats during shifts.

Inspectors were also assured about visitor controls, testing, safe admissions, outbreak management and the infection control policy. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Use of protective equipment

    Staff were seen wearing suitable PPE and changing it when moving between flats.

    “We saw staff wearing appropriate PPE and changing their PPE when moving from flat to flat.” from the report
  • Managing the outbreak

    People were encouraged to stay in their own flats and staff were allocated to individual flats during shifts, helping the home separate areas.

    “During the outbreak people were encouraged to remain in their flats and staff were allocated to individual flats and remained there for the duration of their shift.” from the report
  • Keeping people connected

    While visitors were stopped because of the outbreak, staff supported people to keep in contact using phones and other technology.

    “We support people to use phones and other technology to keep in touch” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now, including how staff use and change PPE?
  2. 02How are visitors currently allowed into the home, and what checks and protective measures are required?
  3. 03How often are residents and staff tested now, and how are decisions recorded for people who cannot consent to testing?
  4. 04What is the current process for admitting a new resident, including testing and isolating belongings?

This was a targeted inspection of infection prevention and control practices following a COVID-19 outbreak; it did not assess the other four key questions or provide an overall rating. This explanation was written from the published report of 27 February 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.

The story over the years

Every inspection of Wembdon Rise

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. November 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Wembdon Rise →

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Wembdon Rise →

  3. December 2020

    Registered with the Care Quality Commission on 1 December 2020.

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

Weigh the report against the rest

Care at home

76 live-in carers within about two hours of Somerset

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 £1,370 a week. 62 can care for a couple. 12 years' experience on average.

“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Karen C., about Mandy E.
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