CQC report explained · a residential care home
What the CQC found at Wigginton Cottage
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They found suitable arrangements for visitors, social distancing, admissions, protective equipment, testing, cleaning and managing outbreaks.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an announced, targeted inspection on 1 December 2020. It looked at infection prevention and control because of the coronavirus pandemic.
Inspectors were assured that the home was managing visitors, social distancing, shielding, admissions, protective equipment, testing, cleaning and possible outbreaks safely. They also found that the infection control policy was up to date.
The home used screening questionnaires and temperature checks for visitors. It also used social stories, recreated activities indoors, changed communal seating and increased cleaning checks to support people during the pandemic.
The service was inspected but not rated. This inspection did not provide an overall Good, Requires Improvement or Inadequate rating.
Visitor safety checks
Visitors completed a Covid-19 screening questionnaire and had their temperature recorded before visiting.
“When visitors arrived at the home, they completed a Covid-19 screening questionnaire.” from the report
Support with anxiety
The home created social stories to help people understand the pandemic and manage anxiety.
“Social stories had been created to help people understand the pandemic and manage their levels of anxiety.” from the report
Activities and wellbeing
Staff recreated activities such as cinema visits and coffee shops at home, helping people stay occupied and supporting their wellbeing.
“Staff recreated community activities people enjoyed such as going to the cinema and visiting coffee shops at home” from the report
Cleaning and monitoring
Cleaning schedules had been increased and extra audits were used to check cleanliness and staff compliance with infection control arrangements.
“Cleaning schedules had been increased and additional audits had been implemented to monitor cleanliness and staff compliance” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitor screening and temperature checks carried out now?
- 02How do you help people understand infection risks and manage anxiety?
- 03How are community activities provided if people cannot go out?
- 04How often are cleaning checks and infection control audits completed?
- 05How do you arrange testing and provide protective equipment for people and staff?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 18 December 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, February 2020
Rated Good after a focused inspection, but some people did not feel safe because of another person's behaviour.
This was an unannounced focused inspection on 27 November 2019. The inspector reviewed information from the provider and other agencies, spoke with four people, two staff members and two healthcare professionals, and checked care, medicine, recruitment and management records.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough staff, safe recruitment, secure medicines and systems to monitor quality. They also found that the provider acted when one person's behaviour began to affect others, including using risk assessments and involving healthcare professionals and safeguarding staff.
Three of the four people spoken with said they did not feel safe because of one person's behaviour. The provider had already taken action, but some people still appeared tense. The inspection did not assess Caring, Effective or Responsive. Ratings from earlier comprehensive inspections were used for those areas.
Staffing and recruitment
People said staff were available when needed and received their planned one-to-one support. Recruitment checks were carried out safely.
“People were supported by sufficient numbers of staff who had been recruited safely.” from the report
Medicines
Medicine records showed doses had been signed for. Medicines were stored securely and written instructions were in place for medicines given only when needed.
“We observed medication administration records had been signed accordingly to show when medicines had been given out.” from the report
People's involvement
People could discuss repairs, menus, activities and safety at meetings. Their views had led to changes, including replacing a broken dryer.
“People were encouraged to have a say about how the home should be run.” from the report
Quality monitoring
The provider used audits and meetings to monitor hygiene, medicines and the experience of people using the home.
“The provider had systems in place to monitor the quality of service provided to people.” from the report
Some people felt unsafe
seriousThree of the four people spoken with said they did not feel safe because of one person's behaviour. The provider had taken action, but some people still appeared tense.
“Three out of four people we spoke with told us they did not feel safe living in the home.” from the report
Risk assessment knowledge
needs fixingOne staff member had not read the risk assessment for a person's behaviour, although they had received a detailed handover about how to manage it safely.
“A staff member told us that even though they had not read the risk assessment they were provided with a detailed handover from a senior staff about how to safely manage the person's behaviours.” from the report
People remained tense
needs fixingInspectors saw that some people appeared tense because of the recent behaviour of another person. The provider was taking action to improve the situation.
“However, some people who used the service appeared tensed with regards to one person's presence due to their recent behaviours.” from the report
- 01What has changed since the inspection to make sure people feel safe around the person whose behaviour caused concern?
- 02What current risk assessment and behaviour support plan is in place, and how is it reviewed?
- 03How do you make sure every staff member has read and understood the relevant risk assessments?
- 04How are people supported if they feel anxious or unsafe in the home?
- 05What were the ratings for Effective, Caring and Responsive at the last comprehensive inspection?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from previous comprehensive inspections. This explanation was written from the published report of 1 February 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.
Every inspection of Wigginton Cottage
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- June 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2015
Registered with the Care Quality Commission on 3 November 2015.
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.
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