CQC report explained · a residential care home
What the CQC found at Wraysbury House Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, appropriate risk assessments, safe medicines arrangements and effective infection control.
- Effective?
- Good
- Staff had the training and support needed for their roles. People’s nutrition, hydration, healthcare, mobility and legal decision-making needs were supported.
- Caring?
- Good
- Inspectors observed kind and respectful interactions. People were offered choices, supported to stay independent and treated with dignity and privacy.
- Responsive?
- Good
- Care plans reflected people’s needs, preferences, interests and religious beliefs. The home offered activities, supported communication and recorded people’s end-of-life wishes.
- Well-led?
- Good
- The home had quality checks covering areas such as medicines, infection control and health and safety. People, relatives and staff gave positive feedback about how the home was run.
What inspectors found, October 2022
Wraysbury House Limited is rated Good; inspectors found kind, personalised care and safe arrangements across all five areas.
The inspection was unannounced and took place on 15 and 16 September 2022. One inspector and an Expert by Experience spoke with seven people, seven staff members and 10 relatives or friends. They also observed care and reviewed records, including four care plans.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable risk assessments and good infection control. They also found that staff supported people with food, drinks, healthcare, communication and activities.
Inspectors saw kind and respectful interactions. Care plans were personalised, and people were supported to make choices and remain as independent as possible. The overall rating remained Good, as it had been at the previous inspection published on 13 September 2021.
Personalised care
Care plans recorded people’s needs, preferences, interests and personal information. Staff said they knew people well and used this knowledge to provide person-centred care.
“People received personalised care and support specific to their needs and preferences.” from the report
Kind and respectful support
Inspectors observed positive interactions between staff and people. People were supported with dignity, privacy, choice and independence.
“We observed a kind and caring culture.” from the report
Safe medicines and staffing
Inspectors found accurate medicines records, secure storage and staff who administered medicines appropriately. Staffing levels were checked as people’s needs changed.
“People received their medicines safely, when they needed them.” from the report
Good leadership and teamwork
The home used audits and feedback to monitor quality. Staff described good teamwork, communication and access to management support.
“The provider and staff had worked hard to develop good leadership.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you adapt the care plan to my relative’s specific needs, preferences and communication style?
- 02How do you check that medicines remain safe and that records stay accurate?
- 03How do you decide whether there are enough staff when residents’ needs change or staff are absent?
- 04What activities would be suitable for my relative’s interests, abilities and cultural or religious needs?
- 05How would you support my relative’s end-of-life wishes, including any preference to remain at the home?
This was an unannounced inspection that looked at the home’s premises and care across all five key questions, including infection prevention and control. This explanation was written from the published report of 27 October 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.
What inspectors found, October 2021
Wraysbury House Limited was rated Good; inspectors found people were safe, well cared for and supported by effective management.
This was a focused inspection on 21 and 22 September 2021. It followed concerns about cleanliness, staffing, medicines, COVID-19 testing and how concerns were handled. Inspectors looked only at Safe and Well-led.
The home was rated Good for Safe and Good for Well-led. Inspectors found enough staff, safe medicines systems, suitable risk assessments and effective infection control. People and relatives said they felt safe and were treated kindly.
The inspection did not assess Effective, Caring or Responsive because no concerns had been identified in those areas. Their previous ratings were used to calculate the overall rating. The overall rating stayed Good, as it was at the previous inspection in 2018.
People felt safe and cared for
People said they felt safe, relaxed and treated with kindness. Inspectors saw friendly relationships between people and staff.
“People were happy with the care they received, felt relaxed with staff and told us they were treated with kindness.” from the report
Staffing met people’s needs
Inspectors observed care across the home and found staff deployment kept people safe. Staffing levels were reviewed daily or when people’s needs changed.
“The deployment of staff met people's needs and kept them safe.” from the report
Medicines were managed safely
Staff were trained, medicines records were accurate and audits checked administration and storage.
“Regular auditing of medicine procedures had taken place, including checks on accurately recording administered medicines as well as temperature checks of medicines storage areas.” from the report
Risks were assessed
Care plans included detailed risk assessments for areas such as falls, mobility and medicines. Equipment and fire safety were also checked.
“Risk assessments were reviewed regularly to ensure they provided current guidance for staff.” from the report
Good management and quality checks
The provider used audits, staff meetings and feedback from people and relatives to monitor the service and look for improvements.
“The provider undertook a range of quality assurance audits to ensure a good level of quality was maintained.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess staffing levels each day, and what happens when staff are off sick or on leave?
- 02How do you check that medicines are given and recorded correctly, and what did your most recent medicines audit find?
- 03What infection control, testing and visiting arrangements are currently in place?
- 04How are risks such as falls, mobility and medicines recorded and reviewed for my relative?
- 05What action did you take in response to the concerns that led to this inspection, and how have you checked that improvements were maintained?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 13 October 2021 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 Wraysbury House Limited
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- October 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2021GoodSafe: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Requires improvementstayed Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2016Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- January 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 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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28 live-in carers within about an hour of West Sussex
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 £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.