CQC report explained · a nursing home
What the CQC found at Wotton Rise Nursing Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and understood by staff. Medicines, infection control, safeguarding, staffing and recruitment were managed safely.
- Effective?
- Good
- This key question was not inspected during this visit. Its rating carried over from the previous inspection.
- Caring?
- Good
- This key question was not inspected during this visit. Its rating carried over from the previous inspection.
- Responsive?
- Good
- This key question was not inspected during this visit. Its rating carried over from the previous inspection.
- Well-led?
- Good
- Inspectors found effective audits, action plans and clinical checks. Managers sought views from people, relatives and staff, and worked with other health and social care professionals.
What inspectors found, July 2023
Rated Good; inspectors found safe care, enough staff and strong management systems.
This was an unannounced focused inspection on 12 and 14 June 2023. Two inspectors and an expert by experience spoke with people, relatives, staff and healthcare professionals. They also reviewed care records, staff files and management records.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed, medicines were managed safely, infection controls were in place and there were enough staff. Staff had the checks and training needed for their roles.
The home’s overall rating stayed Good, the same as at the previous inspection published in November 2018. Inspectors found that the provider had improved its formal quality monitoring system.
Care plans and risk management
Staff knew people’s needs and risks. Care plans gave clear guidance, including for skin care, swallowing, anxiety and dietary needs.
“People's needs were known by staff. Staff spoke positively about people and the support they required.” from the report
Staffing and recruitment
Inspectors found enough staff to meet people’s needs. Recruitment checks were completed before staff started work.
“There were enough staff deployed to meet people's needs.” from the report
Safe medicines and infection control
Medicines were stored and given safely. Inspectors were assured that infection prevention measures and personal protective equipment were being used effectively.
“People's medicines were stored safely, and they received their medicines as prescribed.” from the report
Positive culture
People and relatives described the staff and management positively. Inspectors observed friendly interactions and people taking part in activities.
“People and their relatives spoke positively about the registered manager and clinical lead and the caring culture of the staff.” from the report
Quality monitoring
Managers used audits covering areas such as infection control, food hygiene, health and safety and clinical care. Shortfalls were recorded and followed up.
“The provider had made improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01How far has the electronic care planning system been introduced, and how do you check that records remain accurate during the changeover?
- 02What refurbishment work is still planned, and how are fire and legionella risks being checked while work continues?
- 03How do you review staffing levels when people’s needs or the number of people living here changes?
- 04How are actions from quality audits recorded, checked and signed off?
- 05How will you involve our family member in care plan reviews and decisions if they may lack capacity?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection. This explanation was written from the published report of 12 July 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, November 2018
Wotton Rise Nursing Home Limited: Rated Good; inspectors found safe, kind care, but quality improvement records were not always complete.
This was an unannounced comprehensive inspection on 24 and 26 September 2018. Inspectors reviewed records, staffing, medicines, training, premises and quality checks. They also spoke with five people using the service, five relatives and staff.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably trained staff, safe medicines support, clean premises and good access to health professionals. People were treated with kindness, dignity and respect.
The main weakness was that improvement actions were often managed informally and were not always recorded when completed. Inspectors also found that some care plans for behaviours that could challenge lacked detail, although personalised plans were put in place for two people during the inspection. The home remained Good, as it had been at the previous inspection in April 2016.
Safe care
Inspectors found that people were protected from abuse and discrimination. Risks to health and safety were identified and managed.
“People were protected from potential abuse and discrimination. They were treated equally and their diverse needs recognised and met.” from the report
Enough capable staff
There were enough staff with suitable experience and skills. Recruitment checks were completed before staff started work.
“There were enough staff with appropriate experience and skills to support people's needs.” from the report
Kind and respectful staff
People and relatives described the care as kind and compassionate. Inspectors saw staff communicate respectfully and give people time.
“People were given support by staff who we observed to be kind and caring towards them.” from the report
Health and nutrition support
People had access to health professionals and received support with nutritional risks, swallowing difficulties and dietary preferences.
“People's nutritional risks were identified and managed.” from the report
Activities and individual support
People could join group or one-to-one activities. Staff were beginning to make activities more personal by using people's interests, backgrounds and life histories.
“People were supported to take part in social activities or one to one activities which supported their wellbeing.” from the report
Quality records
needs fixingThe home did not always keep a formal record showing when improvement actions were completed. Inspectors recommended seeking advice about a more formal quality monitoring system.
“We recommend that the service seek advice, from a suitable source, about a formalised quality monitoring system” from the report
Some care plan detail
needs fixingCare plans for behaviours that could challenge did not initially give staff enough detailed guidance. During the inspection, personalised plans were put in place for two people and the managers said this approach would continue.
“care plans, in relation to behaviours which could challenge, lacked detailed guidance for staff.” from the report
- 01How do you now record improvement actions, who is responsible for them, and when are they checked as complete?
- 02How are care plans for dementia, mental health needs and behaviours that could challenge kept detailed and up to date?
- 03How would you personalise activities around my relative's interests, culture, communication needs and abilities?
- 04How do you make sure staff know about changes in a person's needs, risks or treatment?
- 05How are my relative's end-of-life wishes recorded and shared with staff and healthcare professionals?
This was an unannounced comprehensive inspection covering all five key questions, so all ratings were assessed during the visit. This explanation was written from the published report of 13 November 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 Wotton Rise Nursing Home Limited
3 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Wotton Rise Nursing Home Limited →
- November 2018Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Wotton Rise Nursing Home Limited →
- May 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 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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38 live-in carers within about an hour of Gloucestershire
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 £1,030 to £1,360 a week. 31 can care for a couple. 12 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”
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.