CQC report explained · a residential care home
What the CQC found at Wyngate Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe medicines management, suitable safeguarding arrangements and measures to assess and reduce risks. Infection prevention practices, including use of PPE and hand washing, were also found to be good.
- Effective?
- Good
- This question was not assessed during this focused inspection.
- Caring?
- Good
- This question was not assessed during this focused inspection.
- Responsive?
- Good
- This question was not assessed during this focused inspection.
- Well-led?
- Good
- Inspectors found the home was managed consistently, with quality monitoring, staff meetings, supervision and good communication with relatives and external health professionals.
What inspectors found, February 2021
Rated Good; inspectors found people were safe and well supported, with some staff refresher training still to complete.
This was a focused inspection on 12 January 2021. It followed concerns about infection control, staffing levels and possible neglect. Inspectors looked at Safe and Well-led, spoke with people, relatives and staff, and reviewed care, medicines, recruitment and management records.
Inspectors found enough staff, safe medicines management and suitable arrangements to reduce infection risks during the Covid-19 pandemic. They found staff understood safeguarding and that risks to people were assessed and managed.
The home was judged well-led. Relatives described staff and the manager as open and responsive. The manager used audits, meetings and contact with health professionals to monitor and improve care.
The overall rating was Good, the same as at the previous inspection published in March 2019. This inspection did not reassess Effective, Caring or Responsive.
Staffing and safeguarding
Inspectors found enough staff were available and that staff understood how to protect people from possible abuse.
“People were cared for by sufficient numbers of staff.” from the report
Medicines management
Medicines were stored, given and recorded safely, including controlled medicines and medicines given when needed.
“We reviewed the arrangements for the storage, administration and disposal of people's medicines and found these were managed safely in line with national guidance.” from the report
Infection control
The home had adapted cleaning, PPE and training during the Covid-19 pandemic. Relatives said visiting arrangements followed government guidance.
“Staff wore appropriate personal protective equipment (PPE) and practiced good hand washing techniques when supporting people with care.” from the report
Communication and leadership
Relatives said the manager and staff kept them informed and responded to changes in people's needs. Staff could raise suggestions in meetings.
“Relatives told us the registered manager and her team were open and responsive when they spoke with them.” from the report
Refresher training
minorThe manager knew that some staff still needed refresher training and was working with them to complete it. Ask which training remains outstanding and when it will be finished.
“However, the registered manager was aware some staff required refresher training and was working with these staff to ensure they completed the updates in a timely way.” from the report
- 01Which staff refresher training was outstanding at the inspection, and has all of it now been completed?
- 02How often are medicines records and storage checks reviewed, and what happens if an error is found?
- 03How are staffing levels checked against people's needs on each shift?
- 04How will relatives be kept informed about visiting arrangements if Covid-19 risks or guidance change?
- 05How are senior staff being supported to take part in the home's auditing and quality monitoring?
This was a focused inspection of Safe and Well-led following specific concerns; the ratings for Effective, Caring and Responsive were not reviewed and the report does not provide new ratings for them. This explanation was written from the published report of 9 February 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.
What inspectors found, March 2019
Wyngate Residential Care Home was rated Good; inspectors found safe, kind and personalised care, with earlier safety improvements completed.
This was an unannounced inspection on 26 February 2019. One inspector visited the home, spoke with people, a relative, staff and a doctor, observed care, and checked care records, medicines and management audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine arrangements, suitable training, respectful care, personalised activities and an open approach to managing the home.
At the previous inspection, improvements were needed to make care consistently safe. At this visit, inspectors found those improvements had been made, so the Safe rating was changed to Good. A small number of records needed clarification or updating, and some garden work had been delayed.
Safe staffing
Inspectors found enough staff across shifts and saw that staff responded quickly when people asked for help.
“We saw that staff were available when people wanted them and they responded to people's requests quickly.” from the report
Kind and respectful care
Staff supported people sensitively, while promoting independence, privacy and choice.
“Throughout our inspection we observed people were treated well by staff who were both caring and supportive in their approach.” from the report
Personalised activities
People could maintain their interests, take part in group or individual activities and go out into the local community.
“In addition to group and one to one activities, entertainers and events were available for people to attend and take part in.” from the report
Open management
The manager and staff worked as a team, used audits and surveys to improve the service, and maintained links with health and local authority services.
“The registered manager used information from audits and checks on the processes and systems in place to run the service to inform changes and improvements to the quality of care people received.” from the report
Delayed garden work
minorSome planned external work in the garden had not been completed by the inspection. The provider said a completion timescale had been identified.
“We saw some external work planned for the garden area of the service had been delayed” from the report
Care record clarity
needs fixingOne repositioning record did not clearly say when and how often checks were needed. The manager reviewed it immediately and sought further professional guidance.
“However, the record was unclear in that it did not include any guidance for staff on exactly when and how often the person needed to be checked.” from the report
Medicine identification records
needs fixingMedicine administration records initially lacked photographs to help identify the person receiving each medicine. The report says this was completed after the inspection.
“We noted that Medicines Administration Records (MAR) did not have photographic identification to help staff to be clear about the person the medicine was linked to.” from the report
- 01Has the delayed garden work now been completed, and what was done?
- 02How do you check that repositioning and other care records give staff clear timings when people's needs change?
- 03When were photographs added to all medicine administration records, and how are these records checked now?
- 04How do you use people's feedback to change menus, activities and the home environment?
- 05How would you support my relative's healthcare, activities and end-of-life wishes if their needs changed?
This was a full inspection covering all five CQC questions, including the premises, care, medicines, records, staff practice and management systems. This explanation was written from the published report of 13 March 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 Wyngate Residential Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Wyngate Residential Care Home →
- March 2019Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Wyngate Residential Care Home →
- February 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 12 September 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.
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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.