GreenM · CQC Position Summary
Wellbeing Care · 19 Jun 2026 · GM-CQC-2026-WCL

Wellbeing Care Limited · three regulated services

A Good estate, on three clocks about to reset

Three services, three different evidence vintages, one framework being rewritten beneath all of them. This is the position you can verify today, the change landing under it, the pattern your nursing cohort keeps being marked down on, and the one thing no benchmark can see.

The 30-second read

Position
All three services rated Good. Meadow View (nursing) was reassessed in July 2024 at 72% overall — above the national nursing average. The Dell and Support Services still carry Good from the older framework, last assessed 2023 and 2021. A rating is only as current as the evidence behind it.
What's changing
The framework your next inspections sit under is being rewritten now — live end-2026, descriptor-led and evidence-continuous. The 72% does not translate forward, and the 2021/2023 evidence is years old going into it.
The pattern
Meadow View leads its cohort on Safe and Effective, but its Caring and Responsive scores were carried forward from the prior inspection — not re-tested in 2024. Across nursing peers the recurring marks-down sit in governance, medicines and risk.
The 30 minutes
What no benchmark can see is where the current evidence across all three sites sits against the new statements. You leave the call with your top-three readiness gaps across the estate and the first action on each.
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Services

3registered

Ratings

Goodall three

Meadow View score

72%

Oldest assessment

2021Support Svcs

Safe advantage
+8.4pp
Meadow View’s Safe score (75%) over the national nursing cohort average of 66.6% (n = 1,274). Its strongest domain.
Above cohort
72% vs 69.6%
Meadow View’s overall score against the nursing cohort average — above the middle of the distribution, no longer in breach since 2023.
Three clocks
2024 / 23 / 21
The three services were last assessed in different years. Support Services’ evidence is now roughly five years old going into a new framework.

What’s changing under those ratings

Draft ASC framework v9.1

All three Good ratings were earned against the current Single Assessment Framework. Your next comprehensive inspections will sit under CQC’s draft Adult Social Care Assessment Framework (v9.1, March 2026) — descriptor-led, live end-2026 — which reads the same services differently across six directional shifts. It applies to both slices of your estate: the two care homes and the homecare/supported-living arm, judged to the same standard.

Show the six framework shifts
SHIFT 01

Outcomes over process

Evidence moves from “do you have a policy” to “what difference does it make to people’s lives.”

SHIFT 02

Continuous, intelligence-led monitoring

Away from point-in-time inspection. CQC will lean on data and lived experience between formal visits.

SHIFT 03

Health inequalities & resource efficiency in scope

Both absent from the current SAF, both newly weighted in the draft — for people using services and the workforce.

SHIFT 04

Workforce elevated within well-led

Retention and staff experience become part of the leadership judgement, not a sub-theme of caring.

SHIFT 05

Descriptor-led, no numerical scoring

The 1–4 scale and percentage overall are being dropped. Meadow View’s 72% does not automatically translate forward.

SHIFT 06

Pilot summer 2026, live end-2026

33 quality statements → ~24 KLOEs. Implementation lands in the window your next comprehensive visits are likely to fall.

The estate · three services, three vintages

Provider 1-137861712
Service
Type
Rating
Headline gap
Meadow View Care HomeWellingborough
Nursing home
Good · 72%Assessed Jul 2024 (SAF)
Caring & Responsive carried forward from the prior inspection — not re-tested in 2024.
The Dell Care HomeLowestoft
Residential home
GoodLast assessed 2023 (pre-SAF)
Rated under the legacy framework; no current single-assessment score on record.
Wellbeing Care Support ServicesLowestoft
Homecare & supported living
GoodLast assessed Jun 2021
Evidence roughly five years old — the sharpest clock, and a different framework slice (domiciliary).

Meadow View shows a fresh, framework-rated picture; The Dell and Support Services carry Good ratings whose evidence pre-dates the current framework. Under an intelligence-led model that expects continuously current evidence, the gap between the three clocks is itself the exposure — a single standard applied unevenly across units is exactly what the new well-led judgement looks for.

Meadow View vs the nursing cohort

n = 1,274 · England · framework-rated

Cohort rating distribution

Outstanding
34
Good
865
Requires impr.
341
Inadequate
31

Meadow View sits in the Good band at 72% overall — above the cohort average of 69.6%, in the upper half of the distribution.

Solid · Meadow View   Dashed · cohort average

Five key questions · Meadow View vs cohort

CQC AP5161 · Jul 2024
Key question
Meadow View vs cohort average
Meadow View
Cohort avg
Delta
Safe
75%
66.6%
+8.4
Effective
75%
70.3%
+4.7
Caring
70%
71.9%
−1.9
Responsive
68%
71.1%
−3.1
Well-led
71%
68.2%
+2.8

Safe, Effective and Well-led reassessed in 2024 · Caring and Responsive carried forward from the previous inspection · zero breaches

What inspectors typically find in this cohort

Lowest 6 statements · n = 1,274

The six quality statements where nursing homes most consistently lose points under the current framework, on the CQC 1–4 scale. Each is likely to be re-examined at your next visit — under either framework. Encouragingly, Meadow View scored at Good (3) on the top three in 2024.

Governance, management & sustainability2.33 · lowest
Medicines optimisation2.52
Involving people to manage risks2.53
Safe environments2.60
Safe & effective staffing2.61
Learning, improvement & innovation2.71
Show what inspectors typically find behind each
Well-led · governance

Governance, management & sustainability

2.33 / 4Cohort average
Meadow View: 3Above cohort

Typical finding: inconsistent audit follow-through, weak action-tracking between issue and resolution, governance evidence in disconnected systems.

Safe · medicines

Medicines optimisation

2.52 / 4Cohort average
Meadow View: 3Above cohort

Typical finding: complex-condition care plan gaps (diabetes, epilepsy, Parkinson’s), MAR audit inconsistencies, PRN protocols missing.

Safe · risk

Involving people to manage risks

2.53 / 4Cohort average
Meadow View: 3Above cohort

Typical finding: risk assessments not personalised, positive risk-taking inconsistent, the person’s own voice missing from their plan.

Safe · environment

Safe environments

2.60 / 4Cohort average
Meadow View: 3Above cohort

Typical finding: fire-safety gaps, environmental hazards, maintenance backlogs.

Safe · staffing

Safe & effective staffing

2.61 / 4Cohort average
Meadow View: 3Above cohort

Typical finding: agency over-reliance, supervision below standard, induction gaps, recruitment checks incomplete.

Well-led · learning

Learning, improvement & innovation

2.71 / 4Cohort average
Meadow View: 2Carried fwd

Typical finding: no clear loop from incident to learning to practice change, training records out of date — and not re-examined at Meadow View in 2024.

Read as: your next inspector will arrive expecting these patterns, because the cohort consistently shows them. Meadow View is at or above Good on five of the six — the work is keeping it there, and bringing the other two services to the same standard, as the framework re-shapes what “Good” looks like.

From the 2024 inspector narrative

6 observations · Meadow View · AP5161
Strength

Turned around, no longer in breach

The 2024 assessment found the provider had made improvements since the last inspection and was no longer in breach of regulations — a clear recovery trajectory.

Strength

Safe is the strongest hand

Medicines, risk, staffing and environment all scored Good against statements where the cohort routinely loses points. Safe led every domain at 75%.

Strength

Relatives speak well of the new manager

One relative: “The care my relative gets is exemplary.” Another noted the new manager was “tackling issues which were neglected before.”

Watch

Caring & Responsive not re-tested

Both scores were carried from the previous inspection, and both sit below the cohort average. The next visit will re-examine them on current evidence.

Watch

New manager continuity

The improvement narrative rests heavily on a recently-appointed manager. Embedding that leadership is what protects the well-led score going forward.

Watch

The Dell & Support Services are dated

Neither has a current framework-rated assessment. Their last datable inspections were 2023 and 2021 — the estate’s real exposure under continuous monitoring.

What this analysis can’t see

The reason for the conversation

Everything above is drawn from outside — your published assessments and your cohort’s patterns. What it cannot show is what decides your next ratings: where your current, day-to-day evidence sits against the new quality statements, across all three services — not just the one reassessed in 2024. Meadow View’s Caring and Responsive position is carried from an earlier cycle; the other two have no current framework picture at all. That is the work of the thirty minutes: we map your real evidence across the estate to the draft framework with you, and you leave knowing your top-three readiness gaps.

What we’d work through together

6 items · the agenda for the call

This isn’t a to-do list to tackle alone — it’s the agenda we’d work through with you, drawn from the 2024 Meadow View narrative, the state of the other two services, and the v9.1 draft framework. The first three are time-sensitive given the transition window; the rest compound.

01

Re-map evidence to the draft ASC KLOEs across all three registrations

NowPre-pilot · Q3 2026
02

Refresh Meadow View’s carried-forward Caring & Responsive evidence

NowBefore next visit
03

Bring The Dell (2023) and Support Services (2021) current

HighQ2–Q3 2026
04

Harden the Safe differentiator into documented outcomes

HighQ3 2026
05

Pair governance and policy with outcomes companions

MediumQ3–Q4 2026
06

Stand up one continuous-evidence cadence across the three sites

MediumOngoing
Show what each item involves on the call
  1. Take the 33 current quality-statement codes and re-tag the evidence base against the ~24 KLOEs in v9.1 — once, re-usable across nursing, residential and homecare, best done before CQC finalises the framework.
  2. Meadow View’s Caring and Responsive scores were carried from the prior inspection. Rebuild current evidence on person-centred care, information provision and continuity so they re-test at or above Good.
  3. The Dell and Support Services have no current single-assessment picture. Reconstruct their evidence base to the new framework now, rather than scrambling when CQC schedules the next visit — Support Services’ 2021 vintage is the priority.
  4. Safe is the estate’s strongest domain (75% vs cohort 66.6%). Document the medicines, risk and staffing practice behind it as outcomes, so it evidences cleanly under outcomes-based judgement.
  5. The single biggest tonal shift is outcomes over process. For each governance and care policy in evidence, write a one-page “what difference does it make” companion citing measurable change at the resident level.
  6. Move from “assemble before the visit” to “continuously current” — one cadence, applied identically across all three services, so the new well-led judgement sees a single standard rather than three different clocks.

We’d cover each of these against your live evidence on the call — not hand them over as homework.

Be inspection-ready before the inspector

GreenM are healthcare data and AI specialists. We connect the fragmented evidence behind a service — care plans, audits, incidents, people’s voice — so it reads cleanly against the new quality statements, not assembled the week before a visit. Your three services are on three different clocks and the framework lands in the window your next visits are likely to fall — which is why now is the moment to map it. In thirty minutes you’ll leave with your top-three readiness gaps across the estate, surfaced live against the v9.1 statements, and the first action on each.

Book a personalised session
Alexey Litvin
CEO · GreenM
alexey@greenm.io
Source · CQC published assessments via GreenM structured dataset · Meadow View CQC AP5161 (published Jul 2024) · The Dell & Wellbeing Care Support Services rated under the legacy framework (last assessed 2023 and Jun 2021) · National nursing-home cohort n = 1,274 (framework-rated) · CQC draft Adult Social Care Assessment Framework v9.1 (March 2026).