CQC report explained · a nursing home
What the CQC found at Wraxall Road Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and controlling infection. They found suitable arrangements for visitors, testing, personal protective equipment, hygiene, social distancing and managing possible outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, November 2020
Inspected but not rated; inspectors found good infection-control arrangements during the COVID-19 pandemic.
The inspection took place on 21 October 2020 and was announced. It was a targeted review of infection prevention and control during the pandemic, rather than a full inspection of the home.
Inspectors found that visitors were checked, provided with safety instructions and required to use personal protective equipment. The home had separate areas, hand sanitiser and suitable arrangements for putting on and removing protective equipment.
Staff were receiving regular testing and extra training. Inspectors were assured that the home could prevent and manage an infection outbreak, and that its policies and contingency plans were up to date.
The home was not given an overall quality rating. It was recorded as inspected but not rated, and Safe was also inspected but not rated.
Visitor safety
Visitors had their temperature taken, were asked about their health and were checked to ensure they used the right protective equipment. Visiting arrangements and contact tracing information were clearly displayed.
“Staff greeted visitors when they arrived at the home and took their temperature, checked they were in good health and ensured they were wearing the correct Personal Protective Equipment (PPE).” from the report
Separate areas and protective equipment
The two parts of the home were kept separate. There was a designated area for putting on and removing protective equipment, with suitable disposal arrangements and enough supplies.
“There was a separate zoned area for putting on and removing Personal Protective Equipment (PPE), and suitable arrangements for their disposal.” from the report
Staff training and testing
Staff received extra infection-control training and training to help recognise early signs of a person's health deteriorating. Staff were also tested weekly.
“All staff had received additional infection prevention and control training, and training in RESTORE2.” from the report
Planning for outbreaks
The home had policies, checks and contingency plans for managing the pandemic. Inspectors were assured that outbreaks could be prevented or managed effectively.
“There were clear policies, procedures, quality assurance checks and contingency plans in place in respect of managing the pandemic and keeping people and staff safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How are people using the service and staff currently tested for COVID-19 or other infections?
- 02How do you make individual decisions about testing when a person may not be able to agree to it?
- 03How would you manage visiting and contact with family if there was an infection outbreak?
- 04How would you keep my relative involved in activities and community access during infection-control restrictions?
- 05When was the infection prevention and control policy and outbreak plan last reviewed?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 6 November 2020 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, July 2019
Wraxall Road Nursing Home was rated Good; inspectors found kind, personalised care, with some staff vacancies and chipped kitchen worktops being addressed.
This was an unannounced inspection on 18 and 20 June 2019. The inspectors spoke with a person living at the home, relatives and staff. They observed care and reviewed care, medicine, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people received safe care, medicines were managed properly, and staff understood people's needs, including when people communicated without words.
The home supported people to make daily choices, take part in activities and go out in the community. Care plans had been improved and information was brought together in one central file. The Responsive rating improved from Requires improvement at the previous inspection to Good.
The overall Good rating means inspectors found a service meeting the required standards at the time of the inspection. The home was larger than current best-practice guidance recommends, but inspectors said the building design reduced the effect of its size.
Personalised communication
Staff knew people well and adapted their communication to people who could not speak. Care plans and communication passports helped staff understand each person's choices and needs.
“Staff were extremely knowledgeable about the people they supported.” from the report
Kind and respectful care
Inspectors saw staff treating people with kindness, dignity and patience. Staff asked permission, explained care and helped people stay independent.
“Staff were caring, compassionate and kind in their approach to people.” from the report
Choice and activities
People were supported to choose food, clothes and activities, and to take part in holidays, trips and community events.
“People were supported to take part in social activities in Wraxall Road and the community.” from the report
Health and medicines
The home worked with specialist health professionals and had systems to give medicines safely. Staff followed advice about risks such as choking.
“Safe systems were in place to ensure that people received their medicines as prescribed.” from the report
Improved care records
The home reduced several files to one central file for each person. This made key information easier for staff to find and reduced duplicated recording.
“Each person had one file rather than four containing all the information they needed to support people.” from the report
Kitchen worktops
minorSome kitchen worktops were chipped and could not be cleaned effectively. The manager was discussing replacement with the landlord.
“This was because some areas of the worktops were chipped. This meant they could not be cleaned effectively.” from the report
Staff vacancies
needs fixingThe home was actively recruiting to ten vacant support worker posts. Inspectors recorded that staffing was considered safe, but families should ask whether recruitment has been completed.
“The registered manager was actively recruiting to ten vacant support worker posts.” from the report
- 01Have all ten vacant support worker posts now been filled, and what is the current use of bank or agency staff?
- 02Have the chipped kitchen worktops been replaced, and how is infection control managed until this is done?
- 03How will you make sure staff understand my relative's non-verbal communication and changing signs of pain or distress?
- 04What activities and community trips would be available for my relative, and how often could they go out?
- 05How would you involve our family in care reviews, best-interest decisions and end-of-life planning?
This was an unannounced planned inspection covering the overall service and all five CQC questions; the previous overall rating was Good, while Responsive had previously been Requires improvement. This explanation was written from the published report of 9 July 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.
Every inspection of Wraxall Road Nursing Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- October 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 12 November 2010.
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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39 live-in carers within about an hour of South 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 £1,020 to £1,280 a week. 32 can care for a couple. 11 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.