CQC report explained · a residential care home
What the CQC found at Windsor Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable staffing, risk management, recruitment, medicines and infection-control arrangements.
- Effective?
- Good
- People’s needs were assessed and staff were trained and supported. People received help with food, drink and healthcare, and the home followed the Mental Capacity Act.
- Caring?
- Good
- Staff were kind, patient and respectful. People were involved in decisions, supported to stay independent and helped to maintain their privacy and dignity.
- Responsive?
- Good
- Care plans were personalised and activities were available in the home and local community. Some people’s end-of-life wishes were not recorded, although the management team had identified this for improvement.
- Well-led?
- Good
- The home had a clear management structure and effective checks on areas such as medicines, care records and staff files. People’s and staff members’ views were sought and used to improve the service.
What inspectors found, March 2020
Rated Good; inspectors found safe, kind and personalised care, with some end-of-life records still needing improvement.
This was the home’s first inspection since it registered in January 2019. Inspectors visited without warning on 22 January and 4 February 2020. They spoke with 19 residents, visitors and staff, observed care, looked around the home and checked care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines arrangements, suitable risk assessments and a clean, well-maintained home.
People were treated kindly and with dignity. Their care was personalised, food choices were supported, healthcare was arranged when needed, and people could take part in activities. Complaints were investigated and used to make improvements.
The overall Good rating means inspectors found care that met the expected standard across all five areas at the time of this inspection. The home had identified that some end-of-life care wishes were not yet recorded.
Safe care and staffing
Inspectors found enough suitably trained staff and saw that risks to residents were identified and managed. Medicines and recruitment were also handled safely.
“There were enough suitably trained and competent staff to keep people safe and meet their needs.” from the report
Kind and respectful staff
People described staff positively. Inspectors saw calm, patient interactions and found that privacy, dignity and independence were respected.
“Staff were kind, considerate and patient in their interactions with people.” from the report
Personalised support
Care plans included people’s needs, preferences and strengths. Staff knew residents well and adapted support to their choices.
“Care plans were person centred, detailed and for the most part up to date.” from the report
Activities and community links
Residents could join a wide range of activities at the home and in the local community. The home also had links with a local social club.
“People were supported to take part in a range of social activities in the home and in the local community.” from the report
Listening and improvement
Complaints were investigated promptly and feedback from residents was used to make changes. The provider also used audits and action plans to monitor quality.
“Complaints were analysed to look for trends and patterns and this information was shared with staff and other services operated by the provider.” from the report
Some end-of-life wishes were not recorded
needs fixingNot all care records included information about residents’ end-of-life care wishes. The management team had identified this as an area for development and had appointed end-of-life champions.
“Some peoples records included information about their end of life care wishes, others did not.” from the report
- 01How will you make sure every resident’s end-of-life wishes are discussed, recorded and kept up to date?
- 02What training are the end-of-life champions providing, and when will this work be completed?
- 03How do you monitor staffing levels when residents’ needs change?
- 04How are families involved in care assessments and reviews?
- 05How do you use complaints and residents’ feedback to make changes?
This was the first planned, unannounced inspection of the newly registered home and covered all five CQC questions, including the premises and care provided. This explanation was written from the published report of 18 March 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 Windsor Court
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2020Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019
Registered with the Care Quality Commission on 28 January 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.
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What to check when you visit
At least 100 live-in carers within about an hour of Leeds
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 £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
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.