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CQC ExplainedEvery inspection report, in plain English

CQC report explained · a residential care home, run by Livability

Shaftesbury Wall Street

14 Wall Street, Hereford, HR4 9HP

Goodpublished 22 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People's risks were assessed and managed, including risks linked to epilepsy, equipment and going out alone. Medicines were stored, administered and audited safely, although inspectors discussed adding more detail to medicine competency assessments.
Effective?
Good
Care plans reflected people's needs, strengths and aspirations. People received support with food, health appointments and accessible surroundings, and staff worked within the Mental Capacity Act.
Caring?
Good
People were treated with kindness, privacy and respect. Staff supported people to make choices, try new experiences and develop independence.
Responsive?
Good
Care and activities were personalised to people's preferences and communication needs. People were supported to go out, maintain family relationships and raise concerns.
Well-led?
Good
Inspectors found a positive culture, supportive management and regular checks on quality. People, relatives and staff were involved in sharing views and suggesting improvements.
The latest report, explained

What inspectors found, December 2023

Shaftesbury Wall Street is rated Good; inspectors found safe, kind and personalised care, with no evidence of harm from concerns raised.

Inspectors visited without warning on 8 November 2023. They spoke with people living at the home, relatives and staff. They observed care and checked care plans, medicine records, staff recruitment and quality checks.

The inspection was prompted partly by concerns about staffing, management and care. Inspectors found no evidence that people were at risk of harm from these concerns. They found that staffing met people's needs, including when regular agency staff were used.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found people were safe, received effective support, were treated kindly, had their needs met and benefited from sound management.

What inspectors praised
  • Personalised support

    Care was tailored to people's needs, preferences and aspirations. People had choices about their daily lives and activities.

    People received personalised care tailored around their needs and preferences.from the report
  • Kind and respectful care

    Inspectors found that people were treated with compassion and that staff protected their privacy, dignity and independence.

    People received kind and compassionate care. Staff protected people's privacy and dignity.from the report
  • Choice and independence

    People were supported to make decisions, develop skills and take part in activities they chose. Some people were supported to manage their own medicines where appropriate.

    People were supported to express their views and make decisions about their care.from the report
  • Community and family links

    People were supported to use local amenities, attend activities and maintain relationships with relatives.

    People were supported to maintain relationships with their families.from the report
  • Positive management

    Inspectors found approachable managers, motivated staff and regular systems for checking quality and learning from incidents.

    There was a learning culture at Livability Wall Street.from the report
What inspectors were concerned about
  • Medicine competency records

    minor

    Staff were trained and assessed as competent to handle medicines. Inspectors discussed recording more detail about what was covered and how staff responded during these assessments.

    We discussed adding more detailed information when carrying out competency assessments.from the report
Questions to ask them, based on this report
  1. 01How do you make sure staffing levels meet my relative's needs when regular staff are absent?
  2. 02What extra detail is now recorded in staff medicine competency assessments?
  3. 03How will you support my relative to make choices and build independence in daily activities?
  4. 04How will you communicate with my relative if they use pictures, easy-read information or another preferred method?
  5. 05How will my family member's care plan be reviewed, and how can we take part?

This inspection covered the care home, including care and premises, but did not cover the three supported living settings linked to the service. This explanation was written from the published report of 22 December 2023 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.

The story over the years

Every inspection of Shaftesbury Wall Street

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Shaftesbury Wall Street

  2. July 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 17 November 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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12 other services on the CQC register. A pattern across a group tells you more than one report.

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