CQC report explained · a residential care home
What the CQC found at Wishmoor Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and risks, medicines, staffing and infection control were managed safely. Inspectors noted that window restrictors did not have the recommended tamper-proof screws and that bowel monitoring needed more detail.
- Effective?
- Good
- Care plans and risk assessments were detailed and person centred. Staff were trained and supported, people were helped to eat and drink, and the home worked with healthcare professionals.
- Caring?
- Good
- Staff were kind, caring and compassionate. People's privacy, dignity, independence, equality and choices were respected.
- Responsive?
- Good
- Care and activities were tailored to people's needs, interests and communication styles. Inspectors said some care plan information needed to be made more consistent.
- Well-led?
- Good
- The home had a consistent management team, regular audits and systems for gathering feedback and making improvements. Managers were described as open and involved.
What inspectors found, December 2023
Rated Good; inspectors found safe, kind and personalised care, with some records and monitoring needing improvement.
The home provides residential care for up to 28 people living with dementia. At the inspection, 25 people were using the service. Inspectors visited on 6 and 23 November 2023. The first visit was unannounced and the second was announced.
Inspectors spoke with managers and care staff, reviewed care, medicines and staff records, and examined the home's audits and other records. They also spoke with relatives and received feedback from a healthcare professional.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The home had trained staff, safe medicine systems, kind interactions, personalised activities and a consistent management team. Inspectors identified some improvements needed in bowel monitoring, care plan consistency, fluid records and window restrictor fittings.
Kind and respectful care
Staff knew people well and treated them with kindness, dignity and respect. People were supported to make choices and maintain their independence.
“People were supported by kind, caring staff who knew them well.” from the report
Personalised communication
The home used pictorial information, communication cards and other aids to help people understand information and express choices.
“The provider was meeting the Accessible Information Standards. People's communication needs were understood and supported.” from the report
Activities and relationships
People could take part in varied activities, cultural events and trips outside the home. Relatives were welcomed to join activities and themed meals.
“The provider offered a range of activities, both internally and externally which people enjoyed.” from the report
Learning from incidents
The provider reviewed accidents and incidents, discussed what had gone wrong with staff and took action to reduce risks.
“The provider learned lessons when things had gone wrong.” from the report
Open management
The home had a stable management structure, regular audits and ways to use feedback from people, relatives, staff and professionals.
“The provider had a consistent management team and governance systems were in place to provide regular oversight of the service.” from the report
Window restrictor fittings
needs fixingWindow restrictors were fitted, but they did not have the recommended tamper-proof screws. The manager said these would be replaced.
“Regular safety checks to the building were carried out, window restrictors had been installed on all windows; however, they did not have the recommended tamper proof screws.” from the report
Bowel monitoring records
needs fixingMore detailed bowel monitoring information was needed so staff could act promptly if someone required further help. Inspectors saw no impact on people at the time.
“Further development was needed with bowel monitoring protocols, whilst we saw no impact to people, more detailed information was required to ensure timely action could be taken if people required further assistance.” from the report
Consistency of care plans
needs fixingSome information in care plans was not consistent throughout. The provider agreed to review the relevant plans.
“Some further development was needed to ensure the information detailed in the care plans was consistent throughout.” from the report
Fluid recording
minorThe provider was asked to improve digital fluid records so that only people who needed monitoring were included, making the information more accurate.
“We discussed with the registered manager further developments to people's digital recordings of fluids, ensuring only people which require monitoring are recorded to represent accurate information.” from the report
- 01What action has been taken to replace the window restrictor screws?
- 02How do you now record and monitor people's bowel movements, and how quickly would staff act on a concern?
- 03How do you check that information is consistent across each person's care plan?
- 04Which residents need fluid monitoring, and how do you make sure their digital records are accurate?
- 05How will you involve our family member in choosing activities, communication aids and care decisions?
This was a comprehensive inspection covering all five key questions, including the premises and care provided; the previous inspection in 2018 also rated all five areas Good. This explanation was written from the published report of 20 December 2023 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, October 2018
Wishmoor Rest Home was rated Good; inspectors found safe, caring and responsive support, with all five areas remaining Good.
The inspection was unannounced and took place on 25 September 2018. One inspector and an expert by experience observed care, spoke with people, relatives and staff, and checked care records, medicines, complaints, accidents, quality checks and recruitment files.
The inspectors found that people were safe, received their medicines, had enough staff support and were protected from infection. Staff had suitable training and supported people's choices, food needs, health care and independence.
People were treated with kindness, dignity and respect. Their care plans reflected their preferences, activities were available, and complaints were recorded and acted on. The manager and provider checked the quality of care and made improvements where needed.
People felt safe
People told inspectors they felt safe and secure. Staff understood how to recognise and report abuse and knew how to reduce risks.
“People we spoke with told us they felt safe and secure living at the home.” from the report
Skilled and supported staff
New staff received induction and shadowing. Staff also had ongoing training, supervision and meetings to discuss their work and further training needs.
“Staff spoke positively about the training they received to keep up-dated.” from the report
Kind, respectful care
Staff knew people's preferences and routines. Inspectors saw people being offered choices and supported with privacy, dignity and independence.
“People were treated with respect and dignity.” from the report
Activities and personal interests
People were supported to keep up interests such as gardening and religious activities. The home also provided entertainment and outings.
“The provider had a comprehensive activities and entertainment programme for people to join in and enjoy.” from the report
Quality checks
The provider and manager checked care plans, medicines, health and safety, and recorded actions to improve care.
“The provider and manager carried out checks to ensure the service met people's needs effectively and safely.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the current progress of the new manager's CQC registration?
- 02How will you make sure care plans are updated promptly when a person's health or needs change?
- 03How do you assess whether staffing levels remain enough for all residents' needs?
- 04Which activities and outings are currently available, and how are residents' personal interests included?
- 05How can relatives raise a complaint, and how will they be told what action was taken?
This was an unannounced inspection covering all five CQC questions; the overall Good rating continued from the previous inspection on 11 January 2016. This explanation was written from the published report of 18 October 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.
Every inspection of Wishmoor Rest Home
4 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- 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.
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