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CQC report explained · a nursing home

What the CQC found at Wetherby Manor

Goodpublished 12 May 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe, risk assessments were regularly reviewed and enough staff were deployed. Medicines were generally managed safely, but some liquid medicines did not have an opened-on date.
Effective?
Good
Staff had relevant training and understood people's needs. People received suitable food and drink, healthcare support and help to make decisions in line with the law.
Caring?
Good
People and relatives described staff as kind and caring. Staff respected privacy and dignity, encouraged independence and involved people and relatives in care planning.
Responsive?
Good
Care plans covered people's individual physical, mental health and communication needs. People had choices, access to activities and information about complaints.
Well-led?
Good
The home had quality checks, an improvement plan and an open culture. People and staff were asked for their views, and managers acted on issues and suggestions.
The latest report, explained

What inspectors found, May 2022

Wetherby Manor was rated Good; inspectors found safe, kind and personalised care, with a minor medicines recording issue.

The inspection was unannounced and took place on 07 April 2022. One inspector spoke with six people living in the home, one relative and nine staff. Feedback was also sought from a visiting GP, and records were checked after the visit.

All five areas were rated Good. Inspectors found enough suitably trained staff, safe recruitment, suitable risk assessments and safe infection control. People received support with medicines, food, healthcare and personal care, and staff understood their needs.

People described staff as kind and caring. People and relatives were involved in care planning, complaints information was available, and activities were offered. The home had systems to monitor quality and respond to feedback. Inspectors noted a minor issue because some liquid medicines did not have an opened-on date.

What inspectors praised
  • People felt safe

    People said they felt safe and well cared for. Staff knew how to recognise and report safeguarding concerns.

    “People felt safe with the care they received, and staff were knowledgeable about when to report concerns to safeguard people.” from the report
  • Kind and respectful staff

    People and relatives described staff as kind. Inspectors observed respectful support that protected people's dignity and privacy.

    “People were well treated by staff. People and their relatives told us staff were kind and they had a good relationship with them.” from the report
  • Personalised care

    People and relatives contributed to care plans. Staff knew people's routines, preferences and support needs.

    “People and their relatives had been involved in developing their plans of care.” from the report
  • Good food and choice

    People had meal choices and access to food and drink throughout the day. Staff monitored people at risk of poor nutrition or dehydration.

    “People were provided with a choice of nutritious home cooked meals.” from the report
  • Open management

    The home had systems to check quality and acted on feedback and incidents. Staff said they could contribute their views.

    “The home had a clear open culture with all staff contributing to providing good quality person centred support.” from the report
What inspectors were concerned about
  • Medicine dates

    needs fixing

    Some liquid medicines did not have an opened-on date. The provider said it would review how often medicine audits were carried out.

    “Whilst there were systems in place to monitor medicine administration we identified some minor issues such as, not all liquid medicines had an 'opened on' date.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure every liquid medicine has its opened-on date recorded?
  2. 02How often are medicine audits carried out, and what happens when an error is found?
  3. 03What changes have followed the recent change in the management team?
  4. 04How will you support my relative's communication needs and personal routines in their care plan?
  5. 05Which activities are currently available, and how do you support people who do not want to join group activities?

This was the first comprehensive inspection since the service registered with the CQC, covering all five key questions and infection prevention and control. This explanation was written from the published report of 12 May 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.

The story over the years

Every inspection of Wetherby Manor

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. May 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Wetherby Manor →

  2. January 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
  3. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. July 2019

    Registered with the Care Quality Commission on 19 July 2019.

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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