CQC report explained · a residential care home
What the CQC found at Willersley House
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- Inspectors were assured about infection prevention and control, including visiting, admissions, testing, protective equipment, cleaning and outbreak management.
- Effective?
- Outstanding
- This area was not covered by this targeted inspection.
- Caring?
- Outstanding
- This area was not covered by this targeted inspection.
- Responsive?
- Outstanding
- This area was not covered by this targeted inspection.
- Well-led?
- Outstanding
- This area was not covered by this targeted inspection.
What inspectors found, April 2021
Willersley House was inspected but not rated; inspectors found good infection control and safe visiting arrangements.
This was an announced, targeted inspection on 16 March 2021. It focused on infection prevention and control during the COVID-19 pandemic.
Inspectors were assured that visitors were tested, temperature checked and given protective equipment. They also found safe arrangements for admissions, isolation, testing, protective equipment, cleaning and managing possible outbreaks.
The service was inspected but not rated. This report does not give an overall rating for the home or ratings for the other areas of care.
Safe visiting
Visitors were tested, temperature checked and given protective equipment. The home also had visiting areas and a booking system to support cleaning between visits.
“Visitor protocols guaranteed anyone entering the service received a lateral flow coronavirus test prior to entry, was temperature tested and provided with personal protective equipment (PPE) to remain safe during their visit.” from the report
Support for family contact
People were supported to keep important relationships with family and friends. Arrangements were also available for visits at the end of life.
“Processes were in place to enable people to receive visitors at the end of their lives.” from the report
Staff PPE use
Staff had training in using protective equipment, and managers checked that it was being used properly.
“Staff were trained in the use of PPE and used it appropriately.” from the report
Clean environment
The home was clean and tidy, with extra cleaning of frequently touched areas.
“The service was clean and tidy. Extra cleaning was regularly completed and focused on frequently touched areas to help reduce the risk of infection.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the home's current arrangements for visiting family and friends?
- 02How are new residents isolated and tested when they first move into the home?
- 03How often are residents and staff currently tested for COVID-19 or other infections?
- 04How is staff use of protective equipment checked and kept up to date?
- 05What are the home's current full CQC ratings for caring, effective care, responsiveness and leadership?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated and the other areas were not covered. This explanation was written from the published report of 27 April 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.
What inspectors found, January 2018
Rated Outstanding; inspectors found exceptionally safe, caring and personalised support, including compassionate end of life care.
Inspectors visited on 4 and 13 December 2017 without giving advance notice. They spoke with people living in the home, relatives, staff and visiting professionals. They reviewed care records, recruitment and training files, medicines information, audits and other management records.
They found that people felt safe and were supported by well-trained, permanent staff. Medicines were managed safely. Care plans reflected people's choices and risks. Food, drink, activities, spiritual needs and health care were tailored to each person.
Inspectors described the care as exceptionally kind and person centred. They found that staff respected people's dignity and independence, and provided particularly compassionate end of life care. The home was also found to be open, well managed and committed to continued improvement.
All five areas were rated Outstanding: Safe, Effective, Caring, Responsive and Well-led. This is the highest CQC rating. The report says standards had been maintained and improved since the previous inspection on 4 December 2015.
Safe staffing and medicines
The home was staffed above its estimated required level. Inspectors found that permanent staff knew people well and managed medicines safely, including supporting some people to take medicines independently.
“Staffing levels were very well managed which promoted people's safety and helped to ensure a high standard of support was consistently provided to people.” from the report
Kind and respectful care
Staff knew people's routines, preferences and anxieties. Inspectors found a strong culture of dignity, respect and independence.
“People were supported by kind, extremely caring and compassionate staff who routinely went above and beyond what was expected of them.” from the report
Personalised activities
People helped choose activities. The home offered group and individual activities, with volunteers helping people take part both inside and outside the home.
“People had access to a comprehensive activities programme, which they were consulted about and involved in.” from the report
Compassionate end of life care
End of life plans could include very personal choices about music, flowers and songs. Inspectors found that staff supported families as well as the person who was dying.
“End of life care was extremely compassionate and went above and beyond the expectations of people' families.” from the report
Strong leadership and improvement
People, relatives and staff expressed confidence in the management. The home used surveys, audits and feedback to improve care.
“There was a strong commitment to continuous improvement with extensive quality assurance systems in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure staffing stays above the required level, including during annual leave, training and unexpected absence?
- 02How would you support my relative to manage their own medicines if they wanted to, and how often would their medicines be reviewed?
- 03How would you tailor activities for someone who does not want to join large group activities?
- 04How would you record and support my relative's wishes about end of life care?
- 05How are families involved in care plan reviews, feedback and complaints?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 23 January 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 report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Willersley House
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2018Outstandingup from GoodSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- February 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 22 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.
Weigh the report against the rest
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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.