CQC report explained · a residential care home
What the CQC found at Wrawby Hall Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2019
Rated Good in all five areas; inspectors found safe, kind and personalised care with strong management.
This was an unannounced planned inspection on 28 August 2019. One inspector spoke with seven people living in the home, six staff members and a visiting social care professional. They also reviewed care, medicine, recruitment and management records.
The inspectors found enough skilled staff and effective systems to protect people from abuse and avoidable harm. Medicines were managed safely, risks were assessed, and staff supported people with eating, drinking, health appointments and decisions about their care.
People were treated with kindness, dignity and respect. Staff knew people well, supported their interests and relationships, and provided personalised care. The home had a warm atmosphere, good links with other services and systems for learning and making improvements.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection, which was published on 28 February 2017.
Safe staffing and risk management
There were enough skilled staff, and risks were assessed and communicated to staff. The home also reviewed incidents and took action to reduce future risks.
“There were sufficient numbers of skilled, competent staff to care for people safely.” from the report
Kind and respectful care
Staff treated people as individuals and asked permission before providing support. They respected privacy, dignity and independence.
“Staff were compassionate and treated people with kindness.” from the report
Personalised support
Staff knew people's likes, dislikes and preferences. People were supported to maintain relationships, pursue hobbies and take part in activities they enjoyed.
“People received personalised care and support.” from the report
Strong management
Inspectors found clear accountability, open communication and quality checks that helped identify improvements. Staff worked together towards good outcomes for residents.
“There was a strong governance framework in place, with clear lines of accountability and processes to drive quality.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's risks and changing needs?
- 02What training and support do staff have for my relative's particular care needs?
- 03How will you support my relative to keep up their hobbies, interests and relationships?
- 04How are medicines checked and managed, including any medicines given without a person's knowledge or consent?
- 05How will you involve my relative and our family in decisions about care and in raising any concerns?
This was an unannounced planned inspection covering all five CQC questions, with care, premises, records and management arrangements reviewed. This explanation was written from the published report of 5 October 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.
What inspectors found, February 2017
Rated Good; inspectors found kind, effective care and improvements since 2015, but some medicines and staffing arrangements needed attention.
This was an unannounced inspection on 11 January 2017. One adult social care inspector and one pharmacy inspector visited. They spoke with people living in the home, visitors, staff and health professionals. They observed care, medicines and mealtimes, and checked care records, medicines records, staff information and management systems.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and cared for. Inspectors saw staff treating people respectfully, supporting choice, helping with food and drink, and responding to health needs.
There were some minor medicines problems. Fridge temperatures were not always recorded, one medicine dose had been missed because extra stock was not known about, and patch charts were not being used. Some relatives and a staff member also said more staff would help at busy times. The home acted during or after the inspection and sent an action plan.
The previous inspection in September 2015 gave the service an overall rating of Requires Improvement. This inspection found enough improvement for a Good rating, although the report made a recommendation about medicines and said staffing and audits should continue to be monitored.
Kind and respectful care
Staff knew people's preferences and communicated patiently. Inspectors saw privacy and dignity being protected, including staff knocking before entering bedrooms.
“We observed staff offered help and assistance to people when this was required.” from the report
Support for dementia
Staff rephrased questions and gave people time to understand and respond. Signs, photographs and room information helped some people find their way around.
“Staff were seen to rephrase questions to help people living with dementia to understand what was being said, they gave people time to think and respond.” from the report
Food and health support
People's dietary needs and preferences were assessed. Staff encouraged people to eat and drink, offered alternatives and sought professional advice when needed.
“Staff assisted people with patience and kindness.” from the report
Activities and family contact
The home offered activities and supported people to continue hobbies and go out. Visitors were welcomed and visiting was encouraged at any time.
“People were encouraged to continue with their hobbies and pursue the life they chose.” from the report
Open management
The management team acted quickly on the issues inspectors raised and involved people, relatives and staff in giving feedback.
“We observed the registered manager and registered provider promoted an open and transparent culture at the service.” from the report
Medicine fridge checks
needs fixingCold-storage medicine temperatures were not recorded consistently. The report says this could reduce medicine effectiveness, and inspectors recommended daily recording.
“The temperature had been recorded twice in the eleven days prior to the day of inspection and no further records were available.” from the report
Medicine stock and patches
seriousOne person missed a dose because staff did not know extra stock was stored elsewhere. Patch charts were not used, making it unclear where and when patches had been applied.
“One person had missed one dose of an anti-depressant on the morning of our inspection as staff were unaware of extra stock being held in the treatment room.” from the report
Staffing at busy times
needs fixingSome relatives and one staff member felt there were not enough staff at peak times. The provider said it would add ancillary or bank staff and keep staffing under review.
“There is not enough staff at certain times, for example, mealtimes if staff are all in the other dining room.” from the report
Audits missed medicines issues
needs fixingThe home's audit system did not identify the medicines problems found by inspectors. The management team said these issues would be addressed and monitored.
“The minor issues we found with the medicine systems had not been identified by the auditing process” from the report
- 01How are medicine fridge temperatures recorded every day now, and who checks the records?
- 02How do you prevent missed doses when medicine stock is kept in more than one location?
- 03Are patch charts now used for everyone prescribed patches, and how are application sites checked?
- 04What staffing is provided at mealtimes and other peak periods, and are the promised extra staff still used?
- 05How do your audits now check that medicine and staffing problems are identified promptly?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall rating, with medicines specifically examined by a pharmacy inspector. This explanation was written from the published report of 28 February 2017 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 Wrawby Hall Care Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- August 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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32 live-in carers within about an hour of North Lincolnshire
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 £1,300 a week. 29 can care for a couple. 11 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
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.