CQC report explained · a residential care home
What the CQC found at Worth Crescent
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Staffing, risk assessments, medicines and infection control were judged safe.
- Effective?
- Good
- This question was not separately rated in the report. Inspectors said staff supported people to make choices and worked within the principles of the Mental Capacity Act.
- Caring?
- Good
- This question was not separately rated in the report. Inspectors found staff knew people well and understood their individual ways of communicating.
- Responsive?
- Good
- This question was not separately rated in the report. Inspectors said care plans and risk assessments reflected people's current needs and promoted their wellbeing.
- Well-led?
- Good
- Inspectors found a positive and open culture, clear management arrangements and regular checks on care, staff practice and the home.
What inspectors found, December 2023
Worth Crescent is rated Good; inspectors found safe, person-centred care and good leadership.
Inspectors visited on 6 and 9 November 2023. The first visit was unannounced. They spoke with one person, four relatives and seven staff, and reviewed care, medicine and management records.
The home was rated Good for Safe and Well-led. Inspectors found people were protected from abuse and avoidable harm, staffing levels were suitable, medicines were managed safely, and the home was clean.
People were supported to make choices and keep their independence. Staff knew people's needs and communication styles. Relatives and staff described an open, friendly service, with checks and audits used to identify improvements.
The overall rating remains Good, unchanged from the previous inspection published in September 2018. This report only gives ratings for Safe and Well-led.
Safe support
People and relatives said people felt safe. Staff understood safeguarding procedures, assessed risks and knew how to support people while promoting independence.
“Staff knew people well, and how to support them in a way which promoted independence while also maintaining their safety.” from the report
Choice and communication
People were supported to make day-to-day choices. Staff understood people's individual communication methods and worked in the least restrictive way possible.
“People were supported to make their own day to day decisions and choices.” from the report
Suitable staffing
Inspectors found enough staff were available, with staffing matched to people's needs and a suitable mix of skills on duty.
“The management team carefully co-ordinated who was coming to stay at Worth Crescent and for how long, against the available staff.” from the report
Open management
Relatives and staff were able to share their views. The provider used meetings, audits and feedback to monitor the service and make improvements.
“The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you find out and record my relative's individual communication style and support needs before they stay?
- 02How will staffing levels and the staff mix be matched to my relative's needs during their stay?
- 03How will my relative be supported to make day-to-day choices and remain as independent as possible?
- 04How are medicines received, stored, given and checked for each person?
- 05What changes have been made, or are planned, following the home's audits and the plans to redecorate and modernise bedrooms?
The inspection looked at the home and care provided but only rated Safe and Well-led; the other three questions were not separately rated in this report. This explanation was written from the published report of 2 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, February 2022
Worth Crescent was inspected but not rated; inspectors were assured about infection control and staffing measures.
This was a targeted inspection on 14 February 2022. The inspectors looked mainly at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19. The inspection was announced.
The inspectors were assured that the home was using personal protective equipment safely, arranging testing, managing visitors and admissions, and keeping its infection control policy up to date. They also found that communal spaces supported social distancing.
People's risks for outings were reviewed. Staff had up-to-date guidance and training on infection control. The service was inspected but not rated, so this report does not give a Good, Requires improvement or Inadequate rating.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infection, including safe use of protective equipment, testing and an up-to-date policy.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Safe shared spaces
The communal areas were large enough to support social distancing and reduce the risk of COVID-19 spreading.
“The communal areas were spacious which supported people to maintain social distancing to minimise risk of the potential spread of Covid-19.” from the report
Safer outings
People's individual risks were reviewed when they went out, helping them take part in external activities and interests safely.
“People's individual risks were reviewed for outings, this ensured they could maintain their safety when participating in their external activities and interests.” from the report
Staff guidance
Staff had access to current guidance and training about safe infection control practices.
“Systems were in place to ensure staff received up to date guidance and training to ensure they continued to meet government guidelines for safe infection control practices to reduce the risk of cross infection.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place if COVID-19 or other illness causes staffing pressures?
- 02How will you support visits from family or friends during a person's respite stay?
- 03How do you review each person's risks before outings and external activities?
- 04How do you keep staff training and infection control guidance up to date?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19; the service was inspected but not rated and the other four questions were not assessed. This explanation was written from the published report of 24 February 2022 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 Worth Crescent
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodstayed GoodSafe: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2011
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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At least 100 live-in carers within about an hour of Worcestershire
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 £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“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”
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.