CQC report explained · a residential care home
What the CQC found at Wychbury Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found risks had been assessed and action had been taken after the serious fall. Staffing, safeguarding, medicines and infection control were found to be safe.
- Effective?
- Good
- This area was not inspected during this visit. Its rating from the previous comprehensive inspection was used in calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its rating from the previous comprehensive inspection was used in calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its rating from the previous comprehensive inspection was used in calculating the overall rating.
- Well-led?
- Good
- People, relatives and staff said the home was well led. Inspectors found quality checks, openness about incidents and work with other professionals, although some audits had not been completed recently.
What inspectors found, February 2020
Wychbury Care Home was rated Good; inspectors found people were safe and the home was well led, but some records and monitoring needed improvement.
This was an unannounced inspection on 18 December 2019. It was prompted by a serious incident involving a fall from height and examined the risks linked to that incident.
Inspectors spoke with people, relatives, staff, the provider and the registered manager. They reviewed care records, medicines records, recruitment and supervision information, and records about how the home was managed.
The home was rated Good for Safe and Well-led. Inspectors found suitable action had been taken to reduce risks, staffing was sufficient, medicines were managed safely and people felt safe. They also found open management and systems for learning from incidents.
This inspection did not assess Effective, Caring or Responsive. The earlier ratings for those areas were carried forward when calculating the overall Good rating.
Staffing and medicines
Inspectors found enough staff to support people promptly. Medicines records were accurate and medicines were stored safely.
“Records we looked at indicated that people received their medicines as prescribed.” from the report
People felt safe
People and relatives told inspectors they felt safe. Staff understood how to recognise and report possible abuse.
“People and their relatives told us they felt safe.” from the report
Open management
The provider was open about the serious incident and shared information with relevant agencies. Managers showed a willingness to learn from accidents and incidents.
“The provider had been open and transparent about this and shared information with all relevant agencies to ensure this investigated appropriately.” from the report
Working with professionals
The home worked with falls specialists, occupational therapy and community nurses to improve people's health and safety.
“Records showed that the registered manager had worked with other professionals including the falls team, occupational therapy and community nurses to improve health outcomes for people and ensure their safety.” from the report
Care records needed more detail
needs fixingSome records did not fully reflect what staff knew about people's risks and needs. The manager said additions were being made after the inspection.
“Although staff displayed an in depth knowledge of people and the risks to their safety, we identified some care records that required more detail to reflect staff knowledge of people.” from the report
Some audits were not recent
minorSome quality checks had not been completed recently. The manager said this was part of a planned monitoring schedule and later sent inspectors the planning tool.
“Some of the audits seen had not been completed recently.” from the report
Feedback surveys
minorPeople were meant to receive annual questionnaires, but none had been sent since the previous inspection in July 2019.
“No surveys had been sent out since our last inspection in July 2019.” from the report
- 01How have you updated care records so they include the detail staff already know about each person's risks?
- 02What is the current schedule for completing quality audits, and can families see how missed or delayed checks are followed up?
- 03How do you collect people's and relatives' views now that no surveys had been sent since July 2019?
- 04What extra equipment was introduced after the serious fall, and how is it checked?
- 05How do staff work with the falls team and other professionals when someone is at risk of falling?
This was a focused inspection of Safe and Well-led following a specific incident; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 5 February 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, August 2019
Wychbury Care Home was rated Good; inspectors found caring, personalised support and improvements since the previous inspection.
This was an unannounced, planned comprehensive inspection on 8 July 2019. Inspectors reviewed care records, medicine records, staff files, training, complaints, accidents and quality checks. They spoke with people living at the home, relatives, staff, managers and social care professionals.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were treated with kindness and dignity, received personalised care, and had their health and changing needs supported. They also found enough staff, safe medicine systems and suitable training.
The home had improved from Requires Improvement at the previous inspection. In particular, safeguarding, risk assessments, caring practice and management checks had improved. No enforcement action was required.
Kind and respectful care
Staff were caring and compassionate. People were treated with dignity and felt comfortable with the staff supporting them.
“People were supported by staff that were caring, compassionate and treated with dignity and respect.” from the report
Personalised support
Care plans reflected people's needs, preferences and life histories. Staff understood how people liked to be supported and helped them keep their independence.
“People received person centred care and support based on their individual needs and preferences.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Staff were trained to give medicines and their competence was checked regularly.
“There were sufficient numbers of staff to meet people's needs.” from the report
Learning and improvement
The home had acted on problems found at the previous inspection. It improved safeguarding training, updated risk assessments and strengthened its quality checks.
“The provider and registered manager had an ethos of continuous learning and provided regular learning opportunities for staff.” from the report
Relative meetings
minorRelatives told inspectors there were not enough relative meetings. The manager said more dates were being planned over the following six months.
“People were positive about resident meetings however relatives told us there was a lack of relative meetings.” from the report
Waiting for legal authorisation
needs fixingFor one person, the home had submitted a request for authorisation but was still waiting for the local authority to process it. Families should ask how such applications are tracked and followed up.
“The registered manager had sent a request for a resident however was waiting for the local authority to process the request and authorise the DoLS application.” from the report
- 01How often are relative meetings held now, and how are relatives' suggestions recorded and acted on?
- 02How do you track applications for legal authorisation when a person is not free to leave the home unsupervised?
- 03How are risk assessments reviewed when a person's health or needs change?
- 04How do you check that staff remain competent to administer medicines?
- 05What refurbishment has been completed since this inspection, and what further work is planned?
This was an unannounced comprehensive inspection covering all five CQC questions, with ratings given for Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 1 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.
Every inspection of Wychbury Care Home
4 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- August 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 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.
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
At least 100 live-in carers within about an hour of Dudley
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 £1,230 a week. 88 can care for a couple. 10 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“Knowing Mum was in Corina's care made an enormous difference to us and we knew she was in safe hands.”
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.