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

Wishmoor Rest Home

21 Avenue Road, Malvern, WR14 3AY

Goodpublished 20 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 were protected from abuse and avoidable harm, and risks, medicines, staffing and infection control were managed safely. Inspectors noted that window restrictors did not have the recommended tamper-proof screws and that bowel monitoring needed more detail.
Effective?
Good
Care plans and risk assessments were detailed and person centred. Staff were trained and supported, people were helped to eat and drink, and the home worked with healthcare professionals.
Caring?
Good
Staff were kind, caring and compassionate. People's privacy, dignity, independence, equality and choices were respected.
Responsive?
Good
Care and activities were tailored to people's needs, interests and communication styles. Inspectors said some care plan information needed to be made more consistent.
Well-led?
Good
The home had a consistent management team, regular audits and systems for gathering feedback and making improvements. Managers were described as open and involved.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found safe, kind and personalised care, with some records and monitoring needing improvement.

The home provides residential care for up to 28 people living with dementia. At the inspection, 25 people were using the service. Inspectors visited on 6 and 23 November 2023. The first visit was unannounced and the second was announced.

Inspectors spoke with managers and care staff, reviewed care, medicines and staff records, and examined the home's audits and other records. They also spoke with relatives and received feedback from a healthcare professional.

All five areas were rated Good: safe, effective, caring, responsive and well-led. The home had trained staff, safe medicine systems, kind interactions, personalised activities and a consistent management team. Inspectors identified some improvements needed in bowel monitoring, care plan consistency, fluid records and window restrictor fittings.

What inspectors praised
  • Kind and respectful care

    Staff knew people well and treated them with kindness, dignity and respect. People were supported to make choices and maintain their independence.

    People were supported by kind, caring staff who knew them well.from the report
  • Personalised communication

    The home used pictorial information, communication cards and other aids to help people understand information and express choices.

    The provider was meeting the Accessible Information Standards. People's communication needs were understood and supported.from the report
  • Activities and relationships

    People could take part in varied activities, cultural events and trips outside the home. Relatives were welcomed to join activities and themed meals.

    The provider offered a range of activities, both internally and externally which people enjoyed.from the report
  • Learning from incidents

    The provider reviewed accidents and incidents, discussed what had gone wrong with staff and took action to reduce risks.

    The provider learned lessons when things had gone wrong.from the report
  • Open management

    The home had a stable management structure, regular audits and ways to use feedback from people, relatives, staff and professionals.

    The provider had a consistent management team and governance systems were in place to provide regular oversight of the service.from the report
What inspectors were concerned about
  • Window restrictor fittings

    needs fixing

    Window restrictors were fitted, but they did not have the recommended tamper-proof screws. The manager said these would be replaced.

    Regular safety checks to the building were carried out, window restrictors had been installed on all windows; however, they did not have the recommended tamper proof screws.from the report
  • Bowel monitoring records

    needs fixing

    More detailed bowel monitoring information was needed so staff could act promptly if someone required further help. Inspectors saw no impact on people at the time.

    Further development was needed with bowel monitoring protocols, whilst we saw no impact to people, more detailed information was required to ensure timely action could be taken if people required further assistance.from the report
  • Consistency of care plans

    needs fixing

    Some information in care plans was not consistent throughout. The provider agreed to review the relevant plans.

    Some further development was needed to ensure the information detailed in the care plans was consistent throughout.from the report
  • Fluid recording

    minor

    The provider was asked to improve digital fluid records so that only people who needed monitoring were included, making the information more accurate.

    We discussed with the registered manager further developments to people's digital recordings of fluids, ensuring only people which require monitoring are recorded to represent accurate information.from the report
Questions to ask them, based on this report
  1. 01What action has been taken to replace the window restrictor screws?
  2. 02How do you now record and monitor people's bowel movements, and how quickly would staff act on a concern?
  3. 03How do you check that information is consistent across each person's care plan?
  4. 04Which residents need fluid monitoring, and how do you make sure their digital records are accurate?
  5. 05How will you involve our family member in choosing activities, communication aids and care decisions?

This was a comprehensive inspection covering all five key questions, including the premises and care provided; the previous inspection in 2018 also rated all five areas Good. This explanation was written from the published report of 20 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 Wishmoor Rest Home

4 rated inspections over 9 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Wishmoor Rest Home

  2. October 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. April 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 24 January 2011.

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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