CQC report explained · a residential care home
What the CQC found at Wright Homecare Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, August 2019
Wright Homecare Limited was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced planned inspection on 24 July 2019. One inspector looked at the home, care records for all four people, medicines, staff records, safeguarding information, accidents and quality checks. They spoke with two people, two relatives, the manager and two care staff.
Inspectors found that people were safe and that staff understood their needs. There were enough staff, medicines were managed safely, and staff had suitable training. People were supported to eat and drink well, use health services and make decisions about their lives.
The home provided kind, respectful and individual care. People were supported to keep relationships, take part in activities and have their views heard. The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in January 2017.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs, with a stable team and no agency staff. Medicines were administered, stored and recorded safely.
“People's medicines were administered, stored and recorded safely.” from the report
Kind and respectful care
Staff knew people well and supported their dignity, privacy, choices and independence.
“We saw staff communicated with people in a kind and respectful manner and had a good understanding of people they supported.” from the report
Personalised support
Care plans recorded people's likes, dislikes, life histories and relationships. Staff supported people to communicate and make choices in ways that suited them.
“People were provided with personalised care which reflected their preferences, likes and dislikes.” from the report
Activities and community life
People were supported to take part in activities and interests, including day care, art, shopping, pubs and holidays.
“People went out and were involved with their interests daily.” from the report
Clean and well-maintained home
Inspectors found the home clean and well maintained. The kitchen had received the highest possible hygiene rating.
“The service had achieved a five-star rating for the hygiene and practices in the kitchen; this is the highest rating that can be achieved.” from the report
Complaints may need to be identified in other ways
minorThere had been no complaints, but staff said some people would not follow the formal complaints procedure. Staff therefore relied on recognising changes in facial expressions or behaviour when someone was unhappy.
“People wouldn't follow the complaints procedure so it's up to us to recognise and act when we can see something is bothering them.” from the report
- 01How do you help each person raise a concern if they cannot use the formal complaints procedure?
- 02How do you record and act on signs that someone is unhappy or anxious?
- 03How are relatives involved in care reviews and decisions about future or end of life wishes?
- 04How do you make sure staff are trained promptly when a person's health or equipment needs change?
- 05How do you support people to stay involved in their chosen activities and community interests?
This was an unannounced planned inspection covering all five CQC questions, including both the care provided and the home environment. This explanation was written from the published report of 14 August 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, January 2017
Rated Good; inspectors found safe, kind and personalised care, with improvements in decision-making since the previous inspection.
The inspection was unannounced and took place on 5 December 2016. One inspector reviewed records, observed care and spoke with people, relatives, staff and the registered manager.
All five areas were rated Good: safe, effective, caring, responsive and well-led. People were supported to take suitable risks, stay independent, choose activities and receive their medicines and healthcare.
The previous inspection had found concerns about decisions made for people who lacked capacity and restrictions used to keep people safe. This inspection found that capacity assessments, best-interest decisions and applications for lawful restrictions had been put in place.
Familiar staff and safe support
There were enough staff to meet people's needs, and support was organised around their planned activities. The home did not use agency staff at the time of inspection.
“People were supported by staff who they knew well and we saw there were sufficient staff on duty to meet their needs.” from the report
Improved decision-making
The previous concerns about decisions for people who lacked capacity had been addressed. Inspectors saw capacity assessments and best-interest decisions involving people important to the person.
“On this inspection visit we found that where people lacked the capacity to make certain decisions, for example, whether to take medicines; we saw capacity assessments had been completed” from the report
Kind and respectful care
Staff understood how people communicated and helped them when they became anxious. People's privacy, dignity and relationships with family and friends were respected.
“People were treated with respect and their privacy and dignity were promoted.” from the report
Choice and independence
People chose activities, helped with meals and shopping, and were supported to develop life skills. Their support plans were personalised and people were involved in creating them.
“People were encouraged to develop and maintain their independence.” from the report
Open management and quality checks
The registered managers checked care records, incidents, health and safety, and other aspects of the service. Staff said they could raise concerns and felt listened to.
“There were systems in place to monitor the quality of the service and audits were undertaken by the registered manager.” from the report
Medicine records
minorA pharmacy audit found that medicine records should include the date medicines were opened and their expiry date. The report says prompt action was taken to improve this.
“We saw the last audit identified that the date of opening and expiry date should be recorded.” from the report
- 01How are medicine opening dates and expiry dates now recorded and checked?
- 02How are capacity assessments and best-interest decisions kept up to date?
- 03Which restrictions are currently used to keep people safe, and what authorisation covers them?
- 04How will my relative be involved in choosing activities, meals and daily routines?
- 05How will relatives be involved in care reviews and raising concerns?
This inspection reviewed the overall quality of the service and all five CQC questions; it also checked progress on concerns found at the November 2015 inspection. This explanation was written from the published report of 7 January 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 Wright Homecare Limited
3 rated inspections over 4 years: the service has held its Good rating throughout.
- August 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 4 February 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.