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CQC report explained · a residential care home

What the CQC found at Wortley Villa

Goodpublished 20 March 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Risk assessments, fire checks and safeguarding training were in place, although medicines records for social leave needed improvement.
Effective?
Good
People's needs and goals were reviewed. Staff were trained and supported people with food, healthcare, daily choices and access to the community.
Caring?
Good
Staff were kind and respectful. Inspectors saw people being involved in their care and supported to maintain privacy, dignity and independence.
Responsive?
Good
Care plans reflected people's routines, preferences and interests. People took part in activities and maintained relationships, but end-of-life plans were not in place.
Well-led?
Good
The home had an open culture and quality checks were carried out. Formal surveys of people, relatives and staff were no longer being used because response rates had been low.
The latest report, explained

What inspectors found, March 2019

Rated Good; inspectors found kind, consistent care, with minor gaps in medicines records and end-of-life planning.

This was a planned inspection on 5 and 6 March 2019. One inspector spoke with two people living in the home, three staff and the registered manager. They also checked care records, staff files, medicines, complaints, incidents and management records.

The home supported four adults with autistic spectrum disorder. Inspectors found a small, consistent team who knew people well. Care plans were personal and included people's goals, routines and choices. People said they felt safe, liked living there and could speak up if worried.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, kind care, support with health and activities, and open management. They noted minor improvements were needed in medicines records for social leave, and end-of-life plans were not yet in place.

What inspectors praised
  • Consistent staff

    People were supported by a small team of long-serving staff. Inspectors found that staff knew people and their routines well.

    “People were supported by a small but consistent team of long-term staff who were kind and caring.” from the report
  • Personal care

    Care plans included personal goals, preferred routines and individual choices. Staff adapted support to each person's needs.

    “Care plans were person centred and included people's personal goals for the year.” from the report
  • Choice and independence

    People were supported to choose activities, use public transport, cook, work and maintain family relationships.

    “People took part in activities of their choice.” from the report
  • Open culture

    People and staff were encouraged to raise concerns. Inspectors found that management was approachable and staff had access to support.

    “There was an open culture where staff and people could raise concerns or issues.” from the report
What inspectors were concerned about
  • Medicines when away from the home

    needs fixing

    When people went on social leave, staff did not record the quantity of medicines given to another person or detailed instructions. Inspectors said there had been no impact, but the provider's policy was not followed.

    “Minor improvements were needed to strengthen the process of managing medicines when people went on social leave.” from the report
  • End-of-life planning

    minor

    End-of-life plans were not in place. Management said this was being discussed so the home could decide how to start these conversations.

    “End of life plans were not in place.” from the report
  • Formal feedback

    minor

    The home no longer carried out surveys of people, relatives and staff because response rates had been low. Inspectors were told that other ways of engaging with people and families were used.

    “Although the service had previously undertaken surveys of people, relatives and staff, this no longer happened.” from the report
Questions to ask them, based on this report
  1. 01How do you now record the quantity of medicines and the instructions when a person takes medicines on social leave?
  2. 02What is your plan for discussing and recording each person's end-of-life wishes?
  3. 03How do people and relatives give feedback now that formal surveys are no longer used?
  4. 04How will my relative's personal routines, goals and preferred activities be recorded and reviewed?
  5. 05How do staff support people to maintain family relationships and access activities in the community?

This was a planned inspection covering all five CQC areas and the overall quality and safety of the care provided. This explanation was written from the published report of 20 March 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 story over the years

Every inspection of Wortley Villa

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. March 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Wortley Villa →

  2. August 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. June 2015Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-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. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 6 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

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