Waterside Grange

Updated 21 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Waterside Grange is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Waterside Grange is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 3 relatives to gather their experience of the care provided. We spoke with 10 members of staff including the registered manager, care staff, nurses, and ancillary staff. We observed staff interacting with people to understand the experience of people who could not talk to us.

We reviewed a range of records including 6 people’s care documentation, multiple medication records and quality audits.

Updated 21 July 2023

About the service

Waterside Grange is a care home providing personal and nursing care. It can accommodate up to 83 people. At the time of our inspection there were 58 people using the service.

People’s experience of using this service and what we found

Quality monitoring systems were in place; however, these were not always effective. Some areas of improvement we identified during the inspection were not highlighted as part of the providers quality monitoring systems. For example, we found infection control shortfalls particularly in the kitchenette areas and lack of fridge temperature monitoring. We were also concerned risks in relation to weight loss were not being managed safely and the mealtime experience for people living with dementia, was poor.

Following our inspection, the registered manager took action to address these concerns. However, new systems and approaches required embedding into practice.

During our inspection we found there were sufficient staff available to meet people’s needs. However, some staff, relatives and people commented there were times when staffing levels were short. The registered manager was in the process of recruiting more staff.

People received medication as prescribed. Staff received training and competency assessments. However, we identified some shortfalls which had not been identified by the audit systems.

The home was predominantly clean; however, we found some areas which required deep cleaning.

Accidents and incidents were recorded, and action was taken to reduce future risks. The registered manager kept a record of safeguarding concerns and could evidence actions they had taken to protect people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff told us they felt supported and received appropriate training to complete their role. We observed staff interacting with people and found they were kind, caring and supportive. Staff knew people well and were aware of people’s preferences.

The registered manager had a system in place to ensure complaints were effectively managed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 01 July 2022, and this is the first inspection.

The last rating for the service under the previous provider was good, published on 07 January 2022.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement

We have identified breaches in relation to risk management and governance and leadership.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.