27 February 2023
During an inspection looking at part of the service
Waterfield Supported Homes Limited is a residential care home providing personal care to up to 7 people. The service provides support to older people, people living with dementia and people with mental health needs. At the time of our inspection there were 7 people using the service.
People’s experience of using this service and what we found
Staff understood how to keep people safe and had suitable training in infection control. However, there were not sufficient systems to ensure the cleanliness of the premises and the building was visibly dirty in places. After our visit the provider engaged a new cleaning contractor to address this.
There were enough staff to safely meet people’s needs. The provider operated suitable pre-employment checks on staff.
People told us they were treated with respect and listened to by staff. People were involved in making day to day choices about how they spent their time, including access to in house activities. People felt safe living in the service and were able to approach managers if they had any concerns.
The provider ensured that key safety checks were carried out around the service and had risk management plans in place to mitigate risks to people’s wellbeing. The provider had implemented a new recording system to ensure that people’s needs were suitably assessed and monitored, however systems of audit did not always address issues with the cleanliness of premises.
The service engaged people in the running of the service and held regular residents meetings. People told us they were comfortable approaching managers if they had any concerns. Staff spoke of feeling well supported by staff and had received key training and supervision.
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. There were suitable processes to ensure that restrictions on people’s liberty were applied legally.
People received their medicines safely by staff who had the right skills to do so; we have made a recommendation about how the provider maintains records of medicines administration.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 7 June 2018).
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 and recommendations.
We have found breaches in relation to the cleanliness of premises. We have made a recommendation about how the provider records people’s medicines.
Please see the action we have told the provider to take at the end of the full version 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.