CQC report explained · a residential care home
What the CQC found at Wyboston Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Some risk assessments did not give detailed instructions on reducing risks, including choking risk. As-required medicine instructions were not detailed enough, and medicine storage temperatures were sometimes above recommended levels.
- Effective?
- Good
- Staff had suitable training and support, worked with health professionals, and supported people to make choices and maintain their health.
- Caring?
- Good
- Staff knew people well, respected their privacy and dignity, and supported them to make decisions and remain as independent as possible.
- Responsive?
- Good
- Care plans reflected people's needs and preferences. People could choose activities, use different ways to communicate, and maintain relationships.
- Well-led?
- Good
- The manager was described as approachable, and quality checks and action plans were in place. Staff said their views were listened to and incidents were reviewed for learning.
What inspectors found, January 2020
Wyboston Lodge was rated Good overall; inspectors found kind, person-centred care, but safety needed improvement.
This was the first planned inspection of the home. One inspector visited on 17 December 2019, spoke with two people, four staff members and the registered manager, and checked care and management records.
The home was rated Good overall. Effective, caring, responsive and well-led were all rated Good. Inspectors found that staff knew people well, supported their choices and helped them take part in activities and community life.
Safe was rated Requires Improvement. Some risk assessments did not explain how risks should be reduced. As-required medicine instructions were too general, and the medicine storage area was sometimes too warm. The manager said action was being taken.
A Good rating means the service met the relevant standards overall at the time of this inspection. It does not mean that everything was perfect, and the safety issues needed attention.
Kind and respectful staff
People appeared comfortable with staff. Staff understood how people communicated and treated them with dignity and respect.
“People were supported and treated with dignity and respect; they were involved in making decisions about their support.” from the report
Choice and independence
People were offered choices in daily life and encouraged to develop independence. The home supported people to take part in activities and community groups.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Staff knew people's needs
Care plans and one-page profiles guided staff, and staff knew people's preferences and support needs.
“People had care plans which detailed their care and support needs and staff knew people well.” from the report
Good partnership working
Staff worked with community professionals, hospitals and local services to support people's health and provide joined-up care.
“The staff team worked in partnership with a range of external professionals and agencies, such as the GP and the local authority, to ensure that people received joined-up care.” from the report
Risk assessments were incomplete
seriousRisks had been identified, but some records did not explain clearly enough how staff should reduce them. This included a person's choking risk.
“Whilst risks had been identified, detailed information on how to reduce the risk was not in place.” from the report
Medicine instructions and storage
seriousInstructions for medicines given as required did not say clearly when staff should give them. The storage area was sometimes too warm, although the manager said action would be taken.
“Profiles for medication given as required or directed did not provided staff with detailed instructions on how and when to administer the medication.” from the report
End-of-life wishes were not recorded
needs fixingPeople's end-of-life wishes had not yet been discussed with them or their families. The manager said this would be addressed.
“Peoples end of life wishes had not been discussed with them or their families” from the report
- 01Have all risk assessments, including the choking risk assessment, now been updated with clear instructions for staff?
- 02How are as-required medicines checked to make sure staff know exactly when to give them?
- 03What action was taken to keep the medicine storage area within the recommended temperature range?
- 04Have people's end-of-life wishes now been discussed with them and their families, and recorded?
- 05What progress has been made on the planned larger laundry room?
This was the first planned inspection and covered all five CQC questions, including the home and the care provided. This explanation was written from the published report of 30 January 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.
Every inspection of Wyboston Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2020Goodcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019
Registered with the Care Quality Commission on 14 January 2019.
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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88 live-in carers within about an hour of Bedford
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 £1,260 a week. 76 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She handled the new situation in front of her with such professionalism and I felt I could trust her 100%.”
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.