CQC report explained · a residential care home
What the CQC found at Wisteria House Stoke Limited
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- Inspectors found that staff understood people's risks, needs and signs of possible abuse. Staffing levels, medicines, fire safety, infection control and accident reviews were all described as very strong.
- Effective?
- Outstanding
- Staff had extensive dementia training, regular supervision and meaningful specialist roles. People's health, nutrition, hydration, consent and legal rights were carefully supported.
- Caring?
- Outstanding
- Staff treated people with patience, kindness and respect. The home used a relationship-based approach and staff spent time sharing meals and activities with people.
- Responsive?
- Outstanding
- Care plans reflected people's histories, preferences, hobbies and goals. People were supported to make choices, maintain independence, enjoy individual activities and take part in community life.
- Well-led?
- Outstanding
- The managers and provider were visible, approachable and closely involved in the home. Quality was checked through regular audits, reviews, feedback and learning from incidents.
What inspectors found, January 2019
Rated Outstanding in every area; inspectors found exceptionally safe, kind, personalised and well-managed care.
The inspection was unannounced and took place on 19 November 2018. Inspectors spoke with or spent time with all 22 people living at the home, staff, relatives and a health professional. They observed care, looked around the building and checked care, medicines, recruitment and management records.
The report found outstanding care in all five areas: safe, effective, caring, responsive and well-led. Staff knew people very well and supported them to make choices, stay independent, take part in activities and remain involved in the community. Medicines, staffing, health care, nutrition and risk management were also found to be very strong.
The home used detailed care plans, family involvement, dementia training and regular audits to improve people's quality of life. Caring and well-led were still Outstanding compared with the previous inspection in 2016. Safe, effective and responsive improved to Outstanding.
Personalised dementia care
Staff knew people very well and used individual techniques to reduce stress and anxiety. Care was based on each person's history, abilities, feelings and preferences.
“We saw that people received outstanding care and were supported to have the best quality of life possible.” from the report
Choice and independence
People were encouraged to do things for themselves and take considered risks. Staff supported people to go out, make appointments, prepare drinks and take part in everyday tasks.
“People were encouraged and supported to make decisions and choices whenever possible in their day to day lives and take considered risks to promote independence and inclusion in the wider community.” from the report
Kind and respectful staff
Inspectors saw staff treating people with patience, warmth and dignity. Staff focused on relationships and joined people for meals, drinks and activities.
“The home was exceptionally caring and care and support was firmly based on the home's caring ethos.” from the report
Meaningful activities
Activities reflected people's interests and included personal goals, community outings and familiar hobbies. People were supported to remain active and connected with others.
“Activities were meaningful and reflected people's interests and individual hobbies, including achievable individualised goals that had been devised between people and their key worker.” from the report
Strong leadership and oversight
Managers were visible and involved in daily care. The home used detailed staffing planning, audits, feedback and reviews to monitor people's experience and improve care.
“They had very robust quality assurance processes in place, including daily reviews of daily activities to ensure people felt noticed and cared for.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you keep the detailed individual care plans and personal goals up to date?
- 02How are night-time checks and motion sensors used, and how do you balance sleep with safety?
- 03How will you support my relative to remain independent and take part in the community?
- 04How are relatives involved in care planning, risk decisions and understanding the Mental Capacity Act?
- 05How are medicines reviewed, and who checks that they are being given safely and at the right time?
This was an unannounced inspection covering all five CQC areas; caring and well-led remained Outstanding from 2016, while safe, effective and responsive improved to Outstanding. This explanation was written from the published report of 23 January 2019 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 Wisteria House Stoke Limited
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- January 2019Outstandingcurrent ratingstayed OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Wisteria House Stoke Limited →
- May 2016OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- June 2014
Registered with the Care Quality Commission on 20 June 2014.
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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9 live-in carers within about an hour of Plymouth
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.
8 can care for a couple. 9 years' experience on average.
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.