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CQC report explained · a residential care home

What the CQC found at Winslow Court

Goodpublished 15 August 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found that risks, safeguarding, staffing, recruitment, infection control and medicines were managed through suitable systems.
Effective?
Good
Staff had training and understood people's needs, consent and mental capacity rights. People's food, drink, health appointments and individual support needs were monitored.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were supported to make choices, stay independent and take part in decisions about their care.
Responsive?
Good
Care plans contained information about people's backgrounds, preferences and communication needs. People took part in activities of their choice, and complaints were investigated and answered.
Well-led?
Good
Staff said they felt valued and able to raise concerns. Managers used audits and checks to monitor care, medicines, incidents, complaints, safety equipment and maintenance.
The latest report, explained

What inspectors found, August 2018

Rated Good; inspectors found safe, kind and well-organised care, with no major concerns identified.

The inspection was unannounced and took place on 25 July 2018. Inspectors spoke with people living at the home, relatives, staff and professionals. They observed care and checked care files, medicines records, complaints, incidents, staff training and quality checks.

The home supported 13 people at the time, although it could provide care for up to 26 people with learning disabilities or autism. Inspectors found enough staff, suitable risk management, safe medicines systems and staff who were respectful and caring.

People were involved in their care and supported to make choices. Their care plans were reviewed, activities reflected their interests, and relatives and professionals were involved. The home also had systems to monitor safety and quality.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as at the previous inspection on 1 September 2015.

What inspectors praised
  • Safe medicines systems

    Staff handling medicines were trained and checked for competence. An electronic system had reduced errors and helped managers monitor medicines records.

    “Since its implementation, medicine errors by staff had been reduced significantly.” from the report
  • Kind and respectful care

    Inspectors saw staff protect people's dignity and support their independence. People were offered choices about daily routines and activities.

    “Throughout our visit, we saw staff treat people with dignity and respect” from the report
  • Personalised support

    Care plans included personal backgrounds, preferences and communication guidance. People had regular reviews and access to a wide range of activities.

    “This enabled them to get to know people as individuals and what was most important to them.” from the report
  • Open management

    Staff felt able to speak openly with managers and raise concerns. Regular audits were used to identify and address issues.

    “Staff told us they felt valued and appreciated by the provider.” from the report
What inspectors were concerned about
  • Some staff wanted more training

    minor

    Some staff said they would welcome deeper training about certain mental health conditions and Angelman's syndrome. Inspectors did not see any adverse impact during the visit.

    “Some staff told us they would welcome training in mental health issues, such as working with schizophrenia, bipolar disorder, and Angelman's syndrome.” from the report
  • Occasional staffing shortages

    needs fixing

    Sickness and other absence sometimes caused staff shortages. The home dealt with this through overtime and regular relief or agency staff.

    “Occasionally, there were shortages through sickness and other absence” from the report
  • End of life training was still being sourced

    minor

    The home was not providing end of life care at the time of inspection. Management said training in this area was still being sourced.

    “the provider was also currently sourcing training in end of life care.” from the report
Questions to ask them, based on this report
  1. 01How do you cover shifts when sickness or other absence causes staffing shortages?
  2. 02What further training have staff received about mental health conditions and Angelman's syndrome?
  3. 03What end of life training is now available, and how would you record a person's wishes?
  4. 04How will you check that medicines continue to be given correctly using the electronic system?
  5. 05How will my relative and our family be involved in care planning, reviews and decisions?

This was an unannounced inspection of the overall service, covering all five CQC questions and including observations, discussions and checks of care and management records. This explanation was written from the published report of 15 August 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 story over the years

Every inspection of Winslow Court

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

  1. August 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Winslow Court →

  2. November 2015Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 24 January 2011.

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

11 live-in carers within about an hour of Herefordshire, County of

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 £960 to £1,410 a week. 10 can care for a couple. 8 years' experience on average.

“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Katrina O., about Sekai M.
See live-in carers near Herefordshire, County ofProfiles, rates and reviews are free to look at.

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.